Organization · NPI-2

Pomona Orthopedic & Multispecialty Medical Associates, INC

Orthopaedic Surgery · Pomona, CA

NPI number1972718062
StatusActive
Last updated in NPPESMay 2, 2008

Details

NPI
1972718062
Entity type
Organization (NPI-2)
Legal business name
Pomona Orthopedic & Multispecialty Medical Associates, INC
Organization subpart
No
Enumeration date
May 11, 2007
Last updated
May 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic SurgeryA33890CAYes
207LP2900X Anesthesiology, Pain MedicineA66353CA
207X00000X Orthopaedic SurgeryG39717CA
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the SpineA71385CA
111N00000X ChiropractorDC15347CA
103T00000X Psychologist14146CA
208100000X Physical Medicine & RehabilitationA61974CA

Practice location

1909 Royalty Dr
Pomona, CA 91767-3020

Phone 909-622-5600 · Fax 909-622-5621

Mailing address

1902 Royalty Dr
Ste. 120
Pomona, CA 91767-3030

Phone 909-622-5600 · Fax 909-622-5621

Authorized official

Robert E. Paz
Vice President
9096225600

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