Organization
LATHAM ORTHOPEDICS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME ROBERT MUELLER MD (MD/CEO)
(951) 658-1942
Entity
Organization
Contact information
Practice address
371 N SAN JACINTO ST STE A, HEMET, CA 92543-3105
(951) 658-1942
(951) 658-9776
Mailing address
PO BOX 5594, HEMET, CA 92544-0594
(951) 658-1942
(951) 658-9776
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G30868
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G308680
—
CA
Enumeration date
09/10/2007
Last updated
09/30/2021
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