# ADVANCED ORTHOPEDICS, A MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Orthopedics A Sport Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720158488
- **Authorized official:** MR. KEVIN PELTON MD (PRESIDENT / OWNER)
- **Authorized official phone:** (818) 788-0101

## Contact information

- **Practice address:** 16530 VENTURA BL, SUITE 100, ENCINO, CA 91436
- **Practice address phone:** (818) 788-0101
- **Practice address fax:** (818) 788-0176
- **Mailing address:** PO BOX 260980, ENCINO, CA 91426
- **Mailing address phone:** (818) 788-0101
- **Mailing address fax:** (818) 788-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 01/05/2016