Organization · NPI-2

Garey Orthopedic Medical Group

Orthopaedic Surgery · Pomona, CA

NPI number1346299211
StatusActive
Last updated in NPPESFeb 7, 2020

Details

NPI
1346299211
Entity type
Organization (NPI-2)
Legal business name
Garey Orthopedic Medical Group
Organization subpart
No
Enumeration date
May 9, 2006
Certification date
Feb 7, 2020
Last updated
Feb 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgerya45892CAYes
207X00000X Orthopaedic SurgeryG61462CA
207X00000X Orthopaedic SurgeryC28115CA
207X00000X Orthopaedic Surgerya100701CA
207X00000X Orthopaedic SurgeryG81061CA
207X00000X Orthopaedic SurgeryA107276CA
207XS0106X Orthopaedic Surgery, Hand Surgeryg81163CA
207XX0005X Orthopaedic Surgery, Sports MedicineA95445CA
363A00000X Physician AssistantPA17960CA
363A00000X Physician AssistantPA18213CO
363A00000X Physician AssistantPA21328CA
363A00000X Physician AssistantPA20743CA

Practice location

255 E Bonita Ave Ste 101
Pomona, CA 91767-1923

Phone 909-593-7437 · Fax 909-593-0318

Mailing address

255 E Bonita Ave Ste 101
Pomona, CA 91767-1923

Phone 909-593-7437 · Fax 909-593-0318

Other practice locations

2776 N Garey Ave
Pomona, CA 91767-1810

Phone 909-593-7437 · Fax 909-593-0318

255 E Bonita Ave Ste 101
Pomona, CA 91767-1923

Phone 909-593-7437 · Fax 909-593-0318

Authorized official

James C Lilley
President
9095937437

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