Organization
SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD D. MOLDAWER MD (MANAGING PARTNER)
(818) 901-6600
Entity
Organization
Contact information
Practice address
2400 BAHAMAS DR, BAKERSFIELD, CA 93309-0745
(661) 328-5565
(661) 328-5573
Mailing address
2400 BAHAMAS DR, BAKERSFIELD, CA 93309-0745
(661) 328-5565
(661) 328-5573
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ15840Z
MEDICARE
CA
Enumeration date
03/08/2013
Last updated
10/04/2016
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