# ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY

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

## Provider details

- **NPI number:** 1336228832
- **Authorized official:** MRS. MICHELLE DEXTER (CONTRACTING LIAISON)
- **Authorized official phone:** (714) 937-2155

## Contact information

- **Practice address:** 363 S MAIN ST STE 220, ORANGE, CA 92868-3816
- **Practice address phone:** (714) 634-4567
- **Practice address fax:** (714) 634-4569
- **Mailing address:** 363 S MAIN ST STE 220, ORANGE, CA 92868-3816
- **Mailing address phone:** (714) 634-4567
- **Mailing address fax:** (714) 634-4569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 03/14/2025
