# ASF ORTHOPAD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ASF Orthopedic Medical Group Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720311863
- **Authorized official:** DR. ALLEN FONSECA MD (OWNER)
- **Authorized official phone:** (562) 464-3033

## Contact information

- **Practice address:** 13710 WHITTIER BLVD, STE 103, WHITTIER, CA 90605-4412
- **Practice address phone:** (562) 464-3033
- **Practice address fax:** (562) 464-3034
- **Mailing address:** 2980 N BEVERLY GLEN CIR STE 100, LOS ANGELES, CA 90077-1728
- **Mailing address phone:** (310) 474-9809
- **Mailing address fax:** (888) 652-3017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G62809 | CA | Yes |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 02/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | G62809 | OWNER STATE LICENSE | CA |