Organization
ADVANCED ORTHOPEDICS, A MEDICAL GROUP
Active
Other names
Advanced Orthopedics A Sport Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PELTON MD (PRESIDENT / OWNER)
(818) 788-0101
Entity
Organization
Contact information
Practice address
16530 VENTURA BL, SUITE 100, ENCINO, CA 91436
(818) 788-0101
(818) 788-0176
Mailing address
PO BOX 260980, ENCINO, CA 91426
(818) 788-0101
(818) 788-0176
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
01/05/2016
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