Organization
ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP
Active
Organization
ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP
Active
Parent organization
ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC CENTER FOR EXCELLENCE MEDICAL GROUP
Authorized official
DR. JAMES SADAO HAMADA M.D. (PRESIDENT)
(310) 540-3145
Entity
Organization
Contact information
Practice address
21530 PIONEER BLVD, HAWAIIAN GARDENS, CA 90716-2608
(310) 540-3145
(310) 540-2306
Mailing address
21350 HAWTHORNE BLVD, SUITE 274, TORRANCE, CA 90503-5605
(310) 540-3145
(310) 540-2306
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
207X00000X
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
207XS011X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C304700
—
CA
01
—
1689851693
NPI
CA
01
—
W14084
MEDICARE GROUP PROVIDER N
CA
01
—
W14084A
MEDICARE GROUP PROVIDER N
CA
Enumeration date
01/30/2008
Last updated
01/30/2008
Update your record
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