# HUNTINGTON ORTHOPEDIC SURGICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HUNTINGTON ORTHOPEDIC SURGICAL GROUP
- **Other names:** Huntington Orthopedic Surgical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851465603
- **Legal business name:** HUNTINGTON ORTHOPEDIC SURGICAL GROUP
- **Authorized official:** BIRDI SIERRA (OFFICE MANAGER)
- **Authorized official phone:** (626) 795-0282

## Contact information

- **Practice address:** 39 CONGRESS ST STE 200, PASADENA, CA 91105
- **Practice address phone:** (626) 795-0282
- **Practice address fax:** (626) 795-0585
- **Mailing address:** 39 CONGRESS ST STE 200, PASADENA, CA 91105-3024
- **Mailing address phone:** (626) 795-0282
- **Mailing address fax:** (626) 795-0585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | A66450 | CA | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | FNP31122 | CA | — |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 03/06/2019