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1780705566 NPI number — ORANGE COUNTY ORTHOPAEDICS & SPORTS MEDICAL GROUP, INC

NPI Number: 1780705566
Health Care Provider/Practitioner: ORANGE COUNTY ORTHOPAEDICS & SPORTS MEDICAL GROUP, INC

Information about “1780705566” NPI (ORANGE COUNTY ORTHOPAEDICS & SPORTS MEDICAL GROUP, INC) exists in 1780705566 in HTML format HTML  |  1780705566 in plain Text format TXT  |  1780705566 in PDF (Portable Document Format) PDF  |  1780705566 in an XML format XML  formats.

NPI Number : 1780705566 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780705566",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ORANGE COUNTY ORTHOPAEDICS & SPORTS MEDICAL GROUP, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24022 CALLE DE LA PLATA STE 415",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAGUNA HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92653-3630",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-451-1454",
    "MailingAddressFaxNumber": "949-451-1452",
    "FirstLinePracticeLocationAddress": "24022 CALLE DE LA PLATA STE 415",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAGUNA HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92653-3630",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-451-1454",
    "PracticeLocationAddressFaxNumber": "949-451-1452",
    "EnumerationDate": "04/02/2007",
    "LastUpdateDate": "02/25/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GREENBAUM",
    "AuthorizedOfficialFirstName": "BRADLEY",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "BUSINESS OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "949-451-1454",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207XX0005X",
          "TaxonomyName": "Sports Medicine (Orthopaedic Surgery) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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