# SILLECT ORTHOPEDIC GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760994354
- **Legal business name:** CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO
- **Authorized official:** MR. TY HECKMAN (MANAGER)
- **Authorized official phone:** (661) 706-9444

## Contact information

- **Practice address:** 2901 SILLECT AVE, BAKERSFIELD, CA 93308-6371
- **Practice address phone:** (661) 327-2101
- **Practice address fax:** (661) 327-2554
- **Mailing address:** 2901 SILLECT AVE, BAKERSFIELD, CA 93308-6371
- **Mailing address phone:** (661) 327-2101
- **Mailing address fax:** (661) 327-2554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A38702 | CA | Yes |
| 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