# ADVANCED ORTHOPEDICS MEDICAL CORP

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

## Provider details

- **NPI number:** 1326196874
- **Authorized official:** DR. VICENTE BERNABE (PHYSICIAN)
- **Authorized official phone:** (559) 589-6294

## Contact information

- **Practice address:** 1560 W LACEY BLVD, SUITE 101, HANFORD, CA 93230-3581
- **Practice address phone:** (559) 589-6294
- **Practice address fax:** (559) 589-6295
- **Mailing address:** 1560 W LACEY BLVD, SUITE 101, HANFORD, CA 93230-3581
- **Mailing address phone:** (559) 589-6294
- **Mailing address fax:** (559) 589-6295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 20A7405 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 11/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20A7405 | LICENSE | CA |
