MEDICARE: DR. WAYNE SCOTT INMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	G63385	CA

General Provider Information

NPI Number	:	1013917038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WAYNE SCOTT INMAN M.D.

Provider Business Mailing Address
First Line	:	5031 AVENIDA DE LA PLATA
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92057-8019
Country	:	US
Telephone Number	:	760-631-8337
Fax Number	:	760-295-7754

Provider Business Practice Location Address
First Line	:	H100 SANTA MARGARITA ROAD
Second Line	:	NAVAL HOSPITAL
City	:	CAMP PENDLETON
State	:	CA
Zip	:	92055-5191
Country	:	US
Telephone Number	:	760-725-1317
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	07/08/2007

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