# SOUTH BAY ORTHOPAEDIC SPECIALISTS MEDICAL CENTER A MEDICAL PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Bay Orthopaedic Specialists Medical Center A Medical Partnership
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396708988
- **Authorized official:** DR. JEROME H UNATIN M.D. (PARTNER)
- **Authorized official phone:** (310) 784-2355

## Contact information

- **Practice address:** 23560 CRENSHAW BLVD, 102 & 103, TORRANCE, CA 90505-5233
- **Practice address phone:** (310) 784-2355
- **Practice address fax:** (310) 517-1817
- **Mailing address:** 23560 CRENSHAW BLVD, 102 & 103, TORRANCE, CA 90505-5233
- **Mailing address phone:** (310) 784-2355
- **Mailing address fax:** (310) 517-1817

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 03/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ZZZ02606Z | BLUE SHIELD | CA |