Knee Shoulder Back Orthopedic Medical Group, A Professional Corporatio is a
Orthopaedic Surgery based in Huntington Park, California. Knee Shoulder Back Orthopedic Medical Group, A Professional Corporatio is licensed to practice in * (Not Available) (license number ) and their current practice location is
5417 Pacific Blvd Ste B, Huntington Park, California. It can be reached at their office (for appointments etc.) via phone at
(323) 581-0101.
NPI number for Knee Shoulder Back Orthopedic Medical Group, A Professional Corporatio is 1245931617 and their current mailing address is Po Box 291040, Los Angeles, California. Knee Shoulder Back Orthopedic Medical Group, A Professional Corporatio
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1245931617.
Healthcare Provider's Profile
Full Name | Knee Shoulder Back Orthopedic Medical Group, A Professional Corporatio |
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Type | Facility |
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Speciality | Orthopaedic Surgery |
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Location | 5417 Pacific Blvd Ste B, Huntington Park, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245931617
- Provider Enumeration Date: 03/13/2023
- Last Update Date: 03/13/2023
Medical Identifiers
Medical identifiers for Knee Shoulder Back Orthopedic Medical Group, A Professional Corporatio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245931617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NX0800X | Chiropractor - Orthopedic | (* (Not Available)) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | (* (Not Available)) | Secondary |
207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Knee Shoulder Back Orthopedic Medical Group, A Professional Corporatio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Knee Shoulder Back Orthopedic Medical Group, A Professional Corporatio Po Box 291040, Los Angeles, CA 90029-9040 Ph: () - | Knee Shoulder Back Orthopedic Medical Group, A Professional Corporatio 5417 Pacific Blvd Ste B, Huntington Park, CA 90255-2532 Ph: (323) 581-0101 |
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