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Organization
SOUTHERN CALIFORNIA ORTHOPAEDIC SPECIALISTS MEDICAL GROUP
Active
Organization
SOUTHERN CALIFORNIA ORTHOPAEDIC SPECIALISTS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY G GOUGH (OFFICE MANAGER)
(951) 354-7270
Entity
Organization
Contact information
Practice address
3838 SHERMAN DR, SUITE 2, RIVERSIDE, CA 92503-4001
(951) 354-7270
(951) 354-0625
Mailing address
3838 SHERMAN DR, SUITE 2, RIVERSIDE, CA 92503-4001
(951) 354-7270
(951) 354-0625
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
06/20/2018
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