Organization
LOS ANGELES SHOULDER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY AUGUST HARTSHORN MD (OWNER)
(310) 546-3461
Entity
Organization
Contact information
Practice address
400 S SEPULVEDA BLVD, STE 200, MANHATTAN BEACH, CA 90266-6814
(310) 546-3461
(310) 798-8231
Mailing address
2351 OCEAN VIEW DR, SIGNAL HILL, CA 90755-3778
(310) 546-3461
(310) 798-8231
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A107628
CA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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