Organization
ORTHOPEDIC TRAUMA SPECIALISTS OF ORANGE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JAMES WILKENS MD (PRESIDENT)
(949) 364-2154
Entity
Organization
Contact information
Practice address
26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-6364
(949) 364-2154
(949) 364-2110
Mailing address
26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-6364
(949) 364-2154
(949) 364-2110
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
C3069768
CA
Other
Enumeration date
12/20/2007
Last updated
02/09/2011
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