Organization
ORANGE COUNTY ORTHOPAEDICS & SPORTS MEDICAL GROUP, INC
Active
Organization
ORANGE COUNTY ORTHOPAEDICS & SPORTS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY A GREENBAUM MD (BUSINESS OWNER)
(949) 451-1454
Entity
Organization
Contact information
Practice address
24022 CALLE DE LA PLATA STE 415, LAGUNA HILLS, CA 92653-3630
(949) 451-1454
(949) 451-1452
Mailing address
24022 CALLE DE LA PLATA STE 415, LAGUNA HILLS, CA 92653-3630
(949) 451-1454
(949) 451-1452
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/02/2007
Last updated
02/25/2022
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