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1073990495
ORTHOPEDIC AND SPORTS MEDICINE CENTER
COSTA MESA, CA
NPI
1073990495
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Entity Type
Organization
Authorized Contact
MANUEL PORTO
Interim President
714-456-2986
Organization Subpart ?
Yes
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2015-05-05
Last Update Date
2015-05-05
Business Address
ORTHOPEDIC AND SPORTS MEDICINE CENTER
1640 NEWPORT BLVD SUITE 230
COSTA MESA, CA 92627-3786
Phone number: 949-515-5210
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Mailing Address
ORTHOPEDIC AND SPORTS MEDICINE CENTER
PO BOX 513228
LOS ANGELES, CA 90051-3228
Phone number: 714-456-3908
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