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Organization
SILLECT ORTHOPEDIC GROUP
Active
Organization
SILLECT ORTHOPEDIC GROUP
Active
Parent organization
CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO
Authorized official
MR. TY HECKMAN (MANAGER)
(661) 706-9444
Entity
Organization
Contact information
Practice address
2901 SILLECT AVE, BAKERSFIELD, CA 93308-6371
(661) 327-2101
(661) 327-2554
Mailing address
2901 SILLECT AVE, BAKERSFIELD, CA 93308-6371
(661) 327-2101
(661) 327-2554
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A38702
CA
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
A63639
CA
Other
Enumeration date
11/03/2017
Last updated
06/24/2019
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