Organization
CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES, INC.
Active
Parent organization
CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOC INC
Authorized official
MS. JOAN C MCCOMB (EXECUTIVE DIRECTOR)
(619) 291-8930
Entity
Organization
Contact information
Practice address
7485 MISSION VALLEY RD, SUITE 104A, SAN DIEGO, CA 92108-4422
(619) 291-8930
(619) 291-8491
Mailing address
7485 MISSION VALLEY RD, SUITE 104-A, SAN DIEGO, CA 92108-4422
(619) 291-8930
(619) 291-8491
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0002270
—
CA
Enumeration date
06/21/2006
Last updated
08/15/2014
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