# JAX ORTHOPEDICS, INC.

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

## Provider details

- **NPI number:** 1366944274
- **Authorized official:** MS. PENNIE LEANN TELARROJA (MANAGEMENT)
- **Authorized official phone:** (424) 220-4400

## Contact information

- **Practice address:** 1200 ROSECRANS AVE STE 110, MANHATTAN BEACH, CA 90266-2470
- **Practice address phone:** (424) 220-4400
- **Mailing address:** 9318 LUBEC ST, DOWNEY, CA 90240-3010
- **Mailing address phone:** (562) 682-7978
- **Mailing address fax:** (424) 220-8344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G83591 | CA | Yes |

## Other

- **Enumeration date:** 03/07/2018
- **Last updated:** 03/07/2018