Organization
MEDFORD ORTHOPAEDIC MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN DING MD (PRESIDENT)
(626) 248-9318
Entity
Organization
Contact information
Practice address
723 S GARFIELD AVE, SUITE 301, ALHAMBRA, CA 91801-4426
(626) 248-9318
(626) 248-9329
Mailing address
PO BOX 6217, ALHAMBRA, CA 91802-6217
(626) 248-9318
(626) 248-9329
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G078679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G786791
—
CA
Enumeration date
07/27/2006
Last updated
12/04/2009
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