Organization
CITRUS ORTHOPAEDIC MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES B MC ELWEE JR. M.D. (PRESIDENT)
(626) 339-7325
Entity
Organization
Contact information
Practice address
315 N 3RD AVE, SUITE 200, COVINA, CA 91723-1905
(626) 339-7325
(626) 915-4956
Mailing address
315 N 3RD AVE, SUITE 200, COVINA, CA 91723-1905
(626) 339-7325
(626) 915-4956
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A18600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508867367
NPI NUMBER FOR INDIVIDUAL
CA
Enumeration date
01/09/2007
Last updated
08/22/2020
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