Provider Demographics
NPI:1285079376
Name:IN GOOD HANDS ORTHO
Entity type:Organization
Organization Name:IN GOOD HANDS ORTHO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBICHEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-718-6165
Mailing Address - Street 1:2617 E CHAPMAN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3226
Mailing Address - Country:US
Mailing Address - Phone:714-639-3780
Mailing Address - Fax:714-639-9203
Practice Address - Street 1:2617 E CHAPMAN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3226
Practice Address - Country:US
Practice Address - Phone:714-639-3780
Practice Address - Fax:714-639-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA108059207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty