# PERRY R SECOR MD MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Los Alamitos Orthopaedic Medical and Surgical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326015470
- **Authorized official:** PERRY R SECOR MD (OWNER)
- **Authorized official phone:** (562) 314-1400

## Contact information

- **Practice address:** 3851 KATELLA AVE, SUITE 150, LOS ALAMITOS, CA 90720-3108
- **Practice address phone:** (562) 314-1400
- **Practice address fax:** (562) 431-0564
- **Mailing address:** 3851 KATELLA AVE, SUITE 150, LOS ALAMITOS, CA 90720-3309
- **Mailing address phone:** (562) 314-1400
- **Mailing address fax:** (562) 431-0564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G48048 | CA | Yes |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 03/29/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00G480480 | BLUE SHIELD | CA |