# ASF ORTHOPAEDIC MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1982765798
- **Authorized official:** ALLEN S FONSECA MD (OWNER)
- **Authorized official phone:** (714) 972-8519

## Contact information

- **Practice address:** 1125 EAST 17TH STREET, SUITE W130, SANTA ANA, CA 92701-2228
- **Practice address phone:** (714) 972-8519
- **Practice address fax:** (714) 972-0277
- **Mailing address:** PO BOX 3459, CHATSWORTH, CA 91313-3459
- **Mailing address phone:** (818) 700-1250
- **Mailing address fax:** (818) 700-1045

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020