# ORTHOPEDIC MEDICAL CENTER

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

## Provider details

- **NPI number:** 1942475777
- **Authorized official:** DESTRY SETSER (CEO)
- **Authorized official phone:** (805) 214-0915

## Contact information

- **Practice address:** 18039 SHERMAN WAY, NORTH SUITE, RESEDA, CA 91335-4630
- **Practice address phone:** (818) 708-8100
- **Mailing address:** 3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | AF8799681 | CA | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008