Advanced Orthopedic Specialists Medical Corporation
Orthopaedic Surgery in Ridgecrest, CA. Organization (NPI-2).
NPI number1679656649
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1679656649
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Orthopedic Specialists Medical Corporation
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A68720 | CA | Yes |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | A68720 | CA | |
| 204D00000X | Neuromusculoskeletal Medicine & OMM | A68720 | CA | |
| 207XS0106X | Orthopaedic Surgery, Hand Surgery | A68720 | CA | |
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | A68720 | CA | |
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | A68720 | CA | |
| 207XX0004X | Orthopaedic Surgery, Foot and Ankle Surgery | A68720 | CA | |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | A68720 | CA | |
| 207XX0801X | Orthopaedic Surgery, Orthopaedic Trauma | A68720 | CA | |
| 208200000X | Plastic Surgery | A68720 | CA | |
| 2082S0099X | Plastic Surgery, Plastic Surgery Within the Head and Neck | A68720 | CA | |
| 2082S0105X | Plastic Surgery, Surgery of the Hand | A68720 | CA | |
| 2086S0102X | Surgery, Surgical Critical Care | A68720 | CA | |
| 2086S0127X | Surgery, Trauma Surgery | A68720 | CA |
Practice location
720 N Norma StSuite A And B
Ridgecrest, CA 93555-3553
Phone 760-485-7402 · Fax 760-771-4183
Mailing address
Po Box 839La Quinta, CA 92247-0839
Phone 760-485-7402 · Fax 760-771-4183
Authorized official
Robert M. Fay
President
7604857402
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