Organization
SOUTHWESTERN ORTHOPEDIC MEDICAL GROUP
Active
Other names
Channel Islands Orthopedic Medical Group, Downey Orthopedic Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH TAYLOR (RISK MANAGER)
(909) 967-3442
Entity
Organization
Contact information
Practice address
1 HIDDEN HILLS CIR, POMONA, CA 91766-4821
(909) 967-3442
(951) 443-4779
Mailing address
1 HIDDEN HILLS CIR, POMONA, CA 91766-4821
(909) 967-3442
(951) 443-4779
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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