Orthopedic Consultants Medical Group, Inc.

LBN: Orthopedic Consultants Medical Group, Inc.
Orthopedic Consultants Medical Group, Inc. is an health care organization with primary practice located at 16311 Ventura Blvd Suite 800, Encino CA 91436-2124. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Orthopedic Consultants Medical Group, Inc. can be contacted via phone (818) 788-7343, or through Wellisch, Mark via phone (818) 788-7343.

Contact Information

Primary practice address
16311 Ventura Blvd Suite 800 Encino CA 91436-2124
Fax: (818) 788-9453
Website:
Authorized official contact:
Name: Wellisch, Mark Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1427111772
LBN Legal business name Orthopedic Consultants Medical Group, Inc.
DBA Doing business as
Authorized official Wellisch, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1427111772 NPPES
California MEDICAID ZZZ77447Z

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