# PACIFIC ORTHOPAEDIC MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891109567
- **Authorized official:** MS. SARAH DU (ACCOUNTS RECEIVABLE MANAGER)
- **Authorized official phone:** (626) 656-1324

## Contact information

- **Practice address:** 289 WEST HUNTINGTON DRIVE, SUITE 206, ARCADIA, CA 91007
- **Practice address phone:** (626) 282-1600
- **Mailing address:** PO BOX 25706, PASADENA, CA 91185-5706
- **Mailing address phone:** (626) 282-1600

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2014
- **Last updated:** 06/11/2024