Organization
ADVANCED ORTHOPEDICS AND SPORTS MEDICINE, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY J CAPUTO M.D. (PRESIDENT)
(951) 270-0882
Entity
Organization
Contact information
Practice address
4234 RIVERWALK PKWY, SUITE 200, RIVERSIDE, CA 92505-8510
(951) 977-2500
(951) 977-2510
Mailing address
PO BOX 1007, MURRIETA, CA 92564-1007
(951) 719-3330
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G57575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6291
LICENSE
CA
01
—
G57575
LICENSE NUMBER
CA
01
—
G70713
LICENSE
CA
Enumeration date
06/22/2006
Last updated
01/22/2013
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