# KEVIN J PELTON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Los Angeles Orthopaedic Surgery Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710764576
- **Authorized official:** KEVIN JEFFREY PELTON MD (PRESIDENT)
- **Authorized official phone:** (323) 264-7600

## Contact information

- **Practice address:** 1505 WILSON TER STE 310, GLENDALE, CA 91206-4073
- **Practice address phone:** (818) 877-2248
- **Practice address fax:** (818) 341-4836
- **Mailing address:** 1700 E CESAR E CHAVEZ AVE STE 2200, LOS ANGELES, CA 90033-2476
- **Mailing address phone:** (323) 264-7600
- **Mailing address fax:** (323) 261-8027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 05/08/2024