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Organization

SOUTH BAY ORTHOPAEDIC SPECIALISTS MEDICAL CENTER A MEDICAL PARTNERSHIP

Active
Other names
South Bay Orthopaedic Specialists Medical Center A Medical Partnership
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROME H UNATIN M.D. (PARTNER)
(310) 784-2355
Entity
Organization

Contact information

Practice address
23560 CRENSHAW BLVD, 102 & 103, TORRANCE, CA 90505-5233
(310) 784-2355
(310) 517-1817
Mailing address
23560 CRENSHAW BLVD, 102 & 103, TORRANCE, CA 90505-5233
(310) 784-2355
(310) 517-1817

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ02606Z
BLUE SHIELD
CA
Enumeration date
04/06/2006
Last updated
03/19/2010
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