ORTHOPEDIC AND SPORTS MEDICINE CENTER

COSTA MESA, CA
NPI1073990495
Entity TypeOrganization
Authorized ContactMANUEL PORTO
Interim President
714-456-2986
Organization Subpart ?Yes
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2015-05-05
Last Update Date2015-05-05
Business Address
ORTHOPEDIC AND SPORTS MEDICINE CENTER
1640 NEWPORT BLVD SUITE 230
COSTA MESA, CA 92627-3786
Phone number: 949-515-5210
Mailing Address
ORTHOPEDIC AND SPORTS MEDICINE CENTER
PO BOX 513228
LOS ANGELES, CA 90051-3228
Phone number: 714-456-3908
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