Organization
HUNTINGTON ORTHOPEDIC SURGICAL GROUP
Active
Parent organization
HUNTINGTON ORTHOPEDIC SURGICAL GROUP
Other names
Huntington Orthopedic Surgical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUNTINGTON ORTHOPEDIC SURGICAL GROUP
Authorized official
BIRDI SIERRA (OFFICE MANAGER)
(626) 795-0282
Entity
Organization
Contact information
Practice address
39 CONGRESS ST STE 200, PASADENA, CA 91105
(626) 795-0282
(626) 795-0585
Mailing address
39 CONGRESS ST STE 200, PASADENA, CA 91105-3024
(626) 795-0282
(626) 795-0585
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
A66450
CA
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
FNP31122
CA
Other
Enumeration date
11/20/2006
Last updated
03/06/2019
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