# ORTHOPAEDIC SURGERY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1205095643
- **Authorized official:** DR. MICHAEL JERROLD EINBUND MD (PHYSICIAN)
- **Authorized official phone:** (951) 684-8844

## Contact information

- **Practice address:** 4156 10TH ST, RIVERSIDE, CA 92501-3181
- **Practice address phone:** (951) 684-8844
- **Practice address fax:** (951) 684-8866
- **Mailing address:** 1125 E 17TH ST, \#E218, SANTA ANA, CA 92701-2201
- **Mailing address phone:** (714) 835-3031
- **Mailing address fax:** (714) 835-6546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | C30384 | CA | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008