Organization
SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD D. MOLDAWER MD (MANAGING PARTNER)
(818) 901-6600
Entity
Organization
Contact information
Practice address
3605 ALAMO ST, SIMI VALLEY, CA 93063-2186
(805) 578-8550
(805) 578-8555
Mailing address
3605 ALAMO ST, SIMI VALLEY, CA 93063-2186
(805) 578-8550
(805) 578-8555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W2429
MEDICARE
CA
Enumeration date
03/25/2013
Last updated
10/04/2016
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