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Organization
SOUTH COUNTY ORTHOPEDIC SPECIALISTS
Active
Organization
SOUTH COUNTY ORTHOPEDIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY M GERSTEN M.D. (OFFICER)
(949) 586-3200
Entity
Organization
Contact information
Practice address
24331 EL TORO RD, STE 200, LAGUNA WOODS, CA 92637-2753
(949) 586-3200
(949) 900-2136
Mailing address
PO BOX 31063, LAGUNA HILLS, CA 92654-1063
(949) 586-3200
(949) 900-2136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN9515
MEDICARE RAILROAD
CA
01
—
GR0064200
CAL-OPTIMA
CA
Enumeration date
05/27/2005
Last updated
01/11/2008
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