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Organization
SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP
Active
Organization
SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD D. MOLDAWER MD (MANAGING PARTNER)
(818) 901-6600
Entity
Organization
Contact information
Practice address
375 ROLLING OAKS DR, SUITE #210, THOUSAND OAKS, CA 91361-1023
(805) 497-7015
(805) 497-7315
Mailing address
375 ROLLING OAKS DR, SUITE #210, THOUSAND OAKS, CA 91361-1023
(805) 497-7015
(805) 497-7315
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W2429
MEDICARE
CA
Enumeration date
03/13/2013
Last updated
02/02/2017
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