Provider Demographics
NPI:1225732506
Name:CALIFORNIA TOTAL JOINTS INC
Entity Type:Organization
Organization Name:CALIFORNIA TOTAL JOINTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KADRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-296-6676
Mailing Address - Street 1:7256 RUE MICHAEL
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-3912
Mailing Address - Country:US
Mailing Address - Phone:858-822-8421
Mailing Address - Fax:
Practice Address - Street 1:4500 BROCKTON AVE STE 204
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-4027
Practice Address - Country:US
Practice Address - Phone:858-822-8421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty