# SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE L.P

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

## Provider details

- **NPI number:** 1043719206
- **Authorized official:** DR. CARLOS GUANCHE (M.D./ ORTHOPEDIC SURGEON)
- **Authorized official phone:** (818) 901-6600

## Contact information

- **Practice address:** 4100 EMPIRE DR STE 120, BAKERSFIELD, CA 93309-0408
- **Practice address phone:** (805) 328-5565
- **Practice address fax:** (805) 328-5573
- **Mailing address:** 6815 NOBLE AVE, VAN NUYS, CA 91405-3796
- **Mailing address phone:** (818) 901-6600
- **Mailing address fax:** (818) 997-7826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 02/02/2018