# RISSER ORTHOPAEDIC GROUP, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1659477487
- **Authorized official:** DR. DONALD J NORQUIST M.D. (PRESIDENT)
- **Authorized official phone:** (626) 797-2002

## Contact information

- **Practice address:** 2627 E WASHINGTON BLVD, PASADENA, CA 91107-1412
- **Practice address phone:** (626) 797-2002
- **Practice address fax:** (626) 798-0567
- **Mailing address:** 2627 E WASHINGTON BLVD, PASADENA, CA 91107-1412
- **Mailing address phone:** (626) 797-2002
- **Mailing address fax:** (626) 798-0567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | CA | — |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 06/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ZZZ73331Z | BLUE SHIELD | CA |
| 05 | — | ZZZ73331Z | — | CA |