Organization
MEDFORD ORTHOPAEDIC MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JEAN DING MD (PRESIDENT)
(626) 247-2250
Entity
Organization
Contact information
Practice address
409 S 1ST AVE, ARCADIA, CA 91006-3830
(626) 247-2250
(626) 247-2260
Mailing address
409 S 1ST AVE, ARCADIA, CA 91006-3830
(626) 247-2250
(626) 247-2259
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G78679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G786791
—
CA
Enumeration date
03/20/2009
Last updated
05/31/2023
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