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Organization
RISSER ORTHOPAEDIC GROUP, A MEDICAL CORPORATION
Active
Organization
RISSER ORTHOPAEDIC GROUP, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J NORQUIST M.D. (PRESIDENT)
(626) 797-2002
Entity
Organization
Contact information
Practice address
2627 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 797-2002
(626) 798-0567
Mailing address
2627 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 797-2002
(626) 798-0567
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ73331Z
BLUE SHIELD
CA
05
—
ZZZ73331Z
—
CA
Enumeration date
09/16/2006
Last updated
06/18/2014
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