Organization
ORTHOPAEDIC QUALIFIED MEDICAL EVALUATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA HENRY (EXECUTIVE ASSISTANT)
(213) 947-0000
Entity
Organization
Contact information
Practice address
13160 MINDANAO WAY STE 310, MARINA DEL REY, CA 90292-7907
(213) 947-0000
Mailing address
13160 MINDANAO WAY STE 310, MARINA DEL REY, CA 90292-7907
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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