# DESERT VALLEY ORTHOPEDIC SURGERY

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

## Provider details

- **NPI number:** 1174704670
- **Authorized official:** DR. MOHAMMAD SIRAJULLAH MD (ORTHOPEDIC)
- **Authorized official phone:** (661) 940-6411

## Contact information

- **Practice address:** 1669 W AVENUE J STE 201, LANCASTER, CA 93534-2869
- **Practice address phone:** (661) 940-6411
- **Practice address fax:** (661) 940-6497
- **Mailing address:** 1669 W AVENUE J STE 201, LANCASTER, CA 93534-2869
- **Mailing address phone:** (661) 940-6411
- **Mailing address fax:** (661) 940-6497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | C51163 | CA | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 12/27/2007