Mission Orthopedics Surgery And Sports Medicine

LBN: Mission Orthopedics Surgery And Sports Medicine
Mission Orthopedics Surgery And Sports Medicine is an health care organization with primary practice located at 1201 E Ocean Ave Suite B, Lompoc CA 93436-7081. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Mission Orthopedics Surgery And Sports Medicine can be contacted via phone (805) 963-3336, or through Wellborn, Colvin Clay via phone (805) 963-3336.

Contact Information

Primary practice address
1201 E Ocean Ave Suite B Lompoc CA 93436-7081
Fax: (805) 564-3332
Website:
Authorized official contact:
Name: Wellborn, Colvin Clay Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1770699282
LBN Legal business name Mission Orthopedics Surgery And Sports Medicine
DBA Doing business as
Authorized official Wellborn, Colvin Clay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1770699282 NPPES
California MEDICAID 00G846660

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