Organization
ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP A MEDICAL CORP
Active
Parent organization
ORTHOPAEDIC CENTER FOR EXCELLENCE MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPAEDIC CENTER FOR EXCELLENCE MEDICAL GROUP
Authorized official
JAMES SADAD HAMADA MD (PRESIDENT)
(310) 540-3145
Entity
Organization
Contact information
Practice address
1300 NO VERMONT AVENUE, SUITE 710 DOCTORS TOWER, LOS ANGELES, CA 90027
(323) 913-4380
(323) 913-4381
Mailing address
21350 HAWTHORNE BLVD, SUITE 274, TORRANCE, CA 90503
(310) 540-3145
(310) 540-2306
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
C30470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C3047000
—
CA
01
—
W14084
MEDICARE GROUP PROVIDER
—
01
—
W14084A
MEDICARE GROUP PROVIDER
—
Enumeration date
01/22/2008
Last updated
05/06/2008
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