# MEDFORD ORTHOPAEDIC MEDICAL CORP

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

## Provider details

- **NPI number:** 1922022441
- **Authorized official:** JEAN DING MD (PRESIDENT)
- **Authorized official phone:** (626) 248-9318

## Contact information

- **Practice address:** 723 S GARFIELD AVE, SUITE 301, ALHAMBRA, CA 91801-4426
- **Practice address phone:** (626) 248-9318
- **Practice address fax:** (626) 248-9329
- **Mailing address:** PO BOX 6217, ALHAMBRA, CA 91802-6217
- **Mailing address phone:** (626) 248-9318
- **Mailing address fax:** (626) 248-9329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G078679 | CA | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 12/04/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G786791 | — | CA |