Provider Demographics
NPI:1194967117
Name:ORTHOPAEDICS LIMITED
Entity type:Organization
Organization Name:ORTHOPAEDICS LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-857-0777
Mailing Address - Street 1:3418 LOMA VISTA RD STE B
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3065
Mailing Address - Country:US
Mailing Address - Phone:805-643-3034
Mailing Address - Fax:805-643-3094
Practice Address - Street 1:3418 LOMA VISTA RD STE B
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3065
Practice Address - Country:US
Practice Address - Phone:805-643-3034
Practice Address - Fax:805-643-3094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC38741207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13023Medicare PIN