Organization
JAX ORTHOPEDICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENNIE LEANN TELARROJA (MANAGEMENT)
(424) 220-4400
Entity
Organization
Contact information
Practice address
1200 ROSECRANS AVE STE 110, MANHATTAN BEACH, CA 90266-2470
(424) 220-4400
Mailing address
9318 LUBEC ST, DOWNEY, CA 90240-3010
(562) 682-7978
(424) 220-8344
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G83591
CA
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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