# ORTHONORCAL, INC

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

## Provider details

- **NPI number:** 1912333659
- **Authorized official:** DR. NATHANIEL P COHEN M.D. (PHYSICIAN-PRESIDENT)
- **Authorized official phone:** (831) 475-4024

## Contact information

- **Practice address:** 4140 JADE ST, SUITE 100, CAPITOLA, CA 95010-3956
- **Practice address phone:** (831) 475-4024
- **Mailing address:** 4140 JADE ST, SUITE 100, CAPITOLA, CA 95010-3956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A75584 | CA | Yes |

## Other

- **Enumeration date:** 09/25/2013
- **Last updated:** 09/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A75584 | DR.COHEN MEDICARE PTAN NUMBER | CA |
| 01 | — | FY744A | MEDICARE PTAN NUMBER | CA |