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
Fax: (714) 893-7022
Website:
Authorized official contact:
Name: Wagner, Kendall

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174802433 NPPES
California Other W1365 MEDICARE

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