Organization
PERRY R SECOR MD MEDICAL CORPORATION
Active
Other names
Los Alamitos Orthopaedic Medical and Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY R SECOR MD (OWNER)
(562) 314-1400
Entity
Organization
Contact information
Practice address
3851 KATELLA AVE, SUITE 150, LOS ALAMITOS, CA 90720-3108
(562) 314-1400
(562) 431-0564
Mailing address
3851 KATELLA AVE, SUITE 150, LOS ALAMITOS, CA 90720-3309
(562) 314-1400
(562) 431-0564
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G48048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G480480
BLUE SHIELD
CA
Enumeration date
03/07/2006
Last updated
03/29/2017
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