Organization · Type 2 NPI

Providence Healthcare Inc

Orthopaedic Surgery Physician · Marina Del Rey, CA

NPI number 1760984033 Active

Practice location

13160 Mindanao Way
Marina Del Rey, CA 90292-6358

Call (310) 437-7923 Map

Fax (310) 561-1927

Mailing address

214 Main St
El Segundo, CA 90245-3803

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XG056259 (CA)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1760984033

Providence Healthcare Inc's National Provider Identifier is 1760984033, issued on Mar 2, 2018. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Marina Del Rey, CA. The record was last updated on Mar 2, 2018.