Southern California Orthopedic Medical Group Inc is a
Orthopaedic Surgery based in Ontario, California. Southern California Orthopedic Medical Group Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3602 Inland Empire Blvd, Suite B 120, Ontario, California. It can be reached at their office (for appointments etc.) via phone at
(909) 941-3986.
NPI number for Southern California Orthopedic Medical Group Inc is 1407082159 and their current mailing address is 3602 Inland Empire Blvd, Suite B 120, Ontario, California. Southern California Orthopedic Medical Group Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1407082159.
Healthcare Provider's Profile
| Full Name | Southern California Orthopedic Medical Group Inc |
|---|
| Type | Facility |
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| Speciality | Orthopaedic Surgery |
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| Location | 3602 Inland Empire Blvd, Ontario, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407082159
- Provider Enumeration Date: 06/09/2009
- Last Update Date: 08/31/2016
Medical Identifiers
Medical identifiers for Southern California Orthopedic Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407082159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | (* (Not Available)) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
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. Southern California Orthopedic Medical Group Inc 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 |
|---|
Southern California Orthopedic Medical Group Inc
3602 Inland Empire Blvd, Suite B 120,
Ontario, CA 91764-4900
Ph: (909) 941-3986 | Southern California Orthopedic Medical Group Inc
3602 Inland Empire Blvd, Suite B 120,
Ontario, CA 91764-4900
Ph: (909) 941-3986 |
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