Orthopaedic Medical Group & Athletic Rehabilitation Center, Inc

LBN: Orthopaedic Medical Group & Athletic Rehabilitation Center, Inc
Orthopaedic Medical Group & Athletic Rehabilitation Center, Inc is an health care organization with primary practice located at 1050 Lakes Dr Ste 100, West Covina CA 91790. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Orthopaedic Medical Group & Athletic Rehabilitation Center, Inc can be contacted via phone (626) 918-6655, or through Bryan, Thomas O via phone (626) 918-6655.

Contact Information

Primary practice address
1050 Lakes Dr Ste 100 West Covina CA 91790
Phone: (626) 918-6655
Fax: (626) 918-6633
Website:
Map and Directions
Authorized official contact:
Name: Bryan, Thomas O Doctor of Medicine (MD)
Phone: (626) 918-6655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1174683643
LBN Legal business name Orthopaedic Medical Group & Athletic Rehabilitation Center, Inc
DBA Doing business as
Authorized official Bryan, Thomas O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Aug 27th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174683643 NPPES
California Other GR0048931 MEDICAL
California Other ZZZ16473Z MEDICAL
California MEDICAID GR0048930 MEDICAL

Popular Providers