# ADVANCED ORTHOPEDIC CENTER INC

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

## Provider details

- **NPI number:** 1992902860
- **Authorized official:** JONATHAN NISSANOFF MD (CEO)
- **Authorized official phone:** (858) 451-2280

## Contact information

- **Practice address:** 15525 POMERADO ROAD, SUITE E-6, POWAY, CA 92064-2427
- **Practice address phone:** (858) 451-2280
- **Practice address fax:** (858) 451-2006
- **Mailing address:** 1230 S CAMDEN DR, LOS ANGELES, CA 90035-1112
- **Mailing address phone:** (858) 451-2280
- **Mailing address fax:** (858) 451-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | G82348 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 09/27/2023