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Organization

SOUTHERN CALIFORNIA ORTHOPEDIC & REHAB SPECIALISTS

Active
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Organization

SOUTHERN CALIFORNIA ORTHOPEDIC & REHAB SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOMAN MAHALLATI D.O. (MEDICAL DIRECTOR)
(714) 485-3599
Entity
Organization

Contact information

Practice address
3420 BRISTOL ST STE 700, COSTA MESA, CA 92626-7137
(714) 485-3599
(714) 485-3544
Mailing address
3420 BRISTOL ST STE 700, COSTA MESA, CA 92626-7137
(714) 485-3599

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20A9964
CA

Other

Enumeration date
07/08/2014
Last updated
07/08/2014
About Stedi
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