Organization
GAREY ORTHOPEDIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C. LILLEY M.D. (PARTNER)
(909) 593-7437
Entity
Organization
Contact information
Practice address
7777 MILLIKEN AVE STE A, SUITE 101, RANCHO CUCAMONGA, CA 91730-6778
(909) 987-7696
(909) 593-1958
Mailing address
255 E BONITA AVE STE 101, POMONA, CA 91767-1923
(909) 593-7437
(909) 593-1958
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A45892
CA
207X00000X
Orthopaedic Surgery Physician
C28115
CA
207XS0106X
Orthopaedic Hand Surgery Physician
G81163
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
G61462
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A100701
CO
Other
Enumeration date
05/13/2011
Last updated
02/03/2020
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