# CENTER FOR ORTHOPEDIC SURGERY, LLC

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

## Provider details

- **NPI number:** 1699780247
- **Authorized official:** JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 6815 NOBLE AVE., SUITE 400, VAN NUYS, CA 91405
- **Practice address phone:** (818) 901-6690
- **Practice address fax:** (310) 659-2333
- **Mailing address:** 6815 NOBLE AVE., SUITE 400, VAN NUYS, CA 91405
- **Mailing address phone:** (818) 901-6690
- **Mailing address fax:** (310) 659-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 954604812 | CA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 03/01/2023