Provider Demographics
NPI:1285974725
Name:CENTER FOR HIP PRESERVATION AND CHILDREN'S ORTHOPAEDICS INC.
Entity type:Organization
Organization Name:CENTER FOR HIP PRESERVATION AND CHILDREN'S ORTHOPAEDICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HARISH
Authorized Official - Middle Name:SADANAND
Authorized Official - Last Name:HOLSALKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-726-5800
Mailing Address - Street 1:23052 ALICIA PKWY
Mailing Address - Street 2:# 619
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-1643
Mailing Address - Country:US
Mailing Address - Phone:714-808-9797
Mailing Address - Fax:714-808-9393
Practice Address - Street 1:2023 W VISTA WAY
Practice Address - Street 2:SUITE B
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6030
Practice Address - Country:US
Practice Address - Phone:760-726-5800
Practice Address - Fax:760-726-5942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-20
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty