Organization
MONTEREY PENINSULA ORTHOPEDIC & SPORTS MEDICINE INSTITUTE
Active
Organization
MONTEREY PENINSULA ORTHOPEDIC & SPORTS MEDICINE INSTITUTE
Active
Other names
Monterey Peninsula Orthopedic & Sports Medicine Institute/Urgency Med
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP BELISHI (COO)
(831) 643-9788
Entity
Organization
Contact information
Practice address
140 SUMMA CT, APTOS, CA 95003-5547
(831) 704-3030
(831) 657-0161
Mailing address
140 SUMMA CT, APTOS, CA 95003-5547
(831) 704-3030
(831) 657-0161
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G43197
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
20A6688
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
20A6704
CA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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