# JOSEPH M PAGE MD INCORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOSEPH M PAGE MD INCORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255400032
- **Legal business name:** JOSEPH M PAGE MD INCORPORATION
- **Authorized official:** JOSEPH M PAGE MD (PRESIDENT)
- **Authorized official phone:** (213) 207-5030

## Contact information

- **Practice address:** 1711 W TEMPLE ST FL 7, SUITE 7606, LOS ANGELES, CA 90026-5421
- **Practice address phone:** (213) 207-5030
- **Practice address fax:** (213) 273-8391
- **Mailing address:** 1711 W TEMPLE ST FL 7, SUITE 7606, LOS ANGELES, CA 90026-5421
- **Mailing address phone:** (213) 207-5030
- **Mailing address fax:** (213) 273-8391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G15136 | CA | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 07/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009151360 | BLUE CROSS BLUE SHIELD | CA |
| 05 | — | 00G15136 | — | CA |