National Provider Identifier Database

BACK TO WORK ORTHOPEDIC MEDICAL GROUP
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

BACK TO WORK ORTHOPEDIC MEDICAL GROUP
15330 VALLEY VIEW AVE STE 1
LA MIRADA, CA90638-5238
Phone: 562-802-0208
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for BACK TO WORK ORTHOPEDIC MEDICAL GROUP

NPI Number 1306115795
Legal business name
LBN
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
Authorized official KEVIN PARK - (MD)
Entity Organization
Organization subpart No
Enumeration date 12/14/2011
Last updated 12/14/2011 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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