Fullerton Orthopaedic Surgery Medical Group, Inc.
LBN: Fullerton Orthopaedic Surgery Medical Group, Inc.
Fullerton Orthopaedic Surgery Medical Group, Inc. is an health care organization with primary practice located at 15039 Goldenwest St , Huntington Beach CA 92647-2710. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Fullerton Orthopaedic Surgery Medical Group, Inc. can be contacted via phone (714) 893-7400, or through Wagner, Kendall via phone (714) 879-0050.
Contact Information
Primary practice address
15039 Goldenwest St
Huntington Beach CA 92647-2710
Phone: (714) 893-7400
Fax: (714) 893-7022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 20A9973 | California |
Profile Details
| NPI number | 1174802433 |
|---|---|
| LBN Legal business name | Fullerton Orthopaedic Surgery Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Wagner, Kendall |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2011 |
| Last updated | Aug 4th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174802433 | NPPES |
| California | Other | W1365 | MEDICARE |
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