# LOS ANGELES ORTHOPAEDIC CENTER MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013011345
- **Authorized official:** MARC A. SAMSON M.D. (OWNER)
- **Authorized official phone:** (213) 482-2992

## Contact information

- **Practice address:** 1245 WILSHIRE BLVD. , SUITE 200, LOS ANGELES, CA 90017
- **Practice address phone:** (213) 482-2992
- **Practice address fax:** (213) 482-2999
- **Mailing address:** 1245 WILSHIRE BLVD. , SUITE 200, LOS ANGELES, CA 90017
- **Mailing address phone:** (213) 482-2992
- **Mailing address fax:** (213) 482-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G84503 | CA | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 03/11/2013
