Provider Demographics
NPI:1093881682
Name:CALIFORNIA HAND AND WRIST ASSOCIATES,A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:CALIFORNIA HAND AND WRIST ASSOCIATES,A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-344-8700
Mailing Address - Street 1:104 SAINT MATTHEWS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2807
Mailing Address - Country:US
Mailing Address - Phone:650-344-8700
Mailing Address - Fax:650-344-8787
Practice Address - Street 1:104 SAINT MATTHEWS AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2807
Practice Address - Country:US
Practice Address - Phone:650-344-8700
Practice Address - Fax:650-344-8787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG626772082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00299755OtherMEDICARE RAILROAD
CAP00299755OtherMEDICARE RAILROAD
CAE89328Medicare UPIN