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NPI Code Detail

MEDICARE: ORTHOPEDIC MEDICAL CENTER, AN INC MEDICAL CLINIC

MEDICARE: ORTHOPEDIC MEDICAL CENTER, AN INC MEDICAL CLINIC
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
1213ES0103XFoot & Ankle Surgery Podiatrist
2207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1700836392
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC MEDICAL CENTER, AN INC MEDICAL CLINIC
Provider Business Mailing Address
First Line : 18039 SHERMAN WAY
Second Line :
City : RESEDA
State : CA
Zip : 91335-4630
Country : US
Telephone Number : 818-708-8100
Fax Number : 818-705-8818
Provider Business Practice Location Address
First Line : 18039 SHERMAN WAY
Second Line :
City : RESEDA
State : CA
Zip : 91335-4630
Country : US
Telephone Number : 818-708-8100
Fax Number : 818-705-8818
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. ROSEMARY FRANKE
Credential :
Telephone Number : 818-708-8100
Provider Enumeration Date : 05/12/2006
Last Update Date : 01/28/2009

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Directions to “ORTHOPEDIC MEDICAL CENTER, AN INC MEDICAL CLINIC ” Practice Location

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