# PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1194722801
- **Authorized official:** SARAH P DU (ACCOUNTS RECEIVABLE MANAGER)
- **Authorized official phone:** (626) 656-1324

## Contact information

- **Practice address:** 707 S GARFIELD AVE, SUITE 201, ALHAMBRA, CA 91801-5859
- **Practice address phone:** (626) 656-1324
- **Practice address fax:** (626) 289-5700
- **Mailing address:** PO BOX 25706, PASADENA, CA 91185-5706
- **Mailing address phone:** (626) 282-1600
- **Mailing address fax:** (626) 656-1264

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 06/11/2024