| Advanced Care Orthopedics | |
|
4067 Tweedy Blvd South Gate CA 90280-6146 | |
| (323) 569-1126 | |
| (877) 403-7113 |
| Full Name | Advanced Care Orthopedics |
|---|---|
| Speciality | Clinic/Center |
| Location | 4067 Tweedy Blvd, South Gate, California |
| Authorized Official Name and Position | Shafagh Monazzam (OWNER) |
| Authorized Official Contact | 3235691126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Care Orthopedics 16215 Wayfarer Ln Huntington Beach CA 92649-2149 Ph: (714) 595-2248 | Advanced Care Orthopedics 4067 Tweedy Blvd South Gate CA 90280-6146 Ph: (323) 569-1126 |
| NPI Number | 1477100378 |
|---|---|
| Provider Enumeration Date | 08/25/2019 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 9436585973 |
|---|---|
| Medicare Enrollment ID | O20200201000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477100378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shafagh Monazzam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619276573 PECOS PAC ID: 0547495970 Enrollment ID: I20131021000556 |
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