Organization
ORTHOPEDIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTRY SETSER (CEO)
(805) 214-0915
Entity
Organization
Contact information
Practice address
18039 SHERMAN WAY, NORTH SUITE, RESEDA, CA 91335-4630
(818) 708-8100
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
AF8799681
CA
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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