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Organization
ORTHOPEDIC SPECIALISTS OF SOUTHERN CALIFORNIA A MEDICAL CORPORATION
Active
Organization
ORTHOPEDIC SPECIALISTS OF SOUTHERN CALIFORNIA A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN NISSANOFF M.D. (MEDICAL DOCTOR)
(858) 451-2280
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK EAST, SUITE 1111, LOS ANGELES, CA 90067-2029
(858) 451-2280
(858) 451-2280
Mailing address
PO BOX 108822, OKLAHOMA CITY, OK 73101-8822
(858) 451-2280
(858) 451-2280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G82348CA
NY
Other
Enumeration date
08/28/2007
Last updated
09/07/2016
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