Provider Demographics
NPI:1306178686
Name:UNITED ORTHOPAEDIC ASSOCIATES
Entity Type:Organization
Organization Name:UNITED ORTHOPAEDIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-242-4808
Mailing Address - Street 1:15990 TUSCOLA RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2111
Mailing Address - Country:US
Mailing Address - Phone:760-242-4808
Mailing Address - Fax:760-242-4889
Practice Address - Street 1:15990 TUSCOLA RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2111
Practice Address - Country:US
Practice Address - Phone:760-242-4808
Practice Address - Fax:760-242-4889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF12020Medicare UPIN
CAA92528Medicare UPIN
CAA51997Medicare UPIN
CAG11953Medicare UPIN
CAH44095Medicare UPIN