Back to Work Orthopedic Medical Group
NPI #1306115795 in La Mirada, California
Provider Information
- NPI Number
- 1306115795
- Entity Type
- Organization
- Organization Name
- Back to Work Orthopedic Medical Group
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Dec 14, 2011
- Last Updated
- Dec 14, 2011
Practice Location
- Address
- 15330 VALLEY VIEW AVE STE 1
- City
- La Mirada
- State
- California
- ZIP Code
- 90638-5238
- Phone
- (562) 802-0208
Authorized Official
- Name
- KEVIN PARK
- Title
- MD
- Phone
- (562) 802-0208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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