Organization
CENTER FOR ORTHOPEDIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
6815 NOBLE AVE., SUITE 400, VAN NUYS, CA 91405
(818) 901-6690
(310) 659-2333
Mailing address
6815 NOBLE AVE., SUITE 400, VAN NUYS, CA 91405
(818) 901-6690
(310) 659-2333
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
954604812
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
03/01/2023
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