Provider Demographics
NPI:1427021922
Name:CALIFORNIA HAND SURGERY AND ORTHOPEDIC SPECIALISTS MEDICAL CLINIC,INC
Entity Type:Organization
Organization Name:CALIFORNIA HAND SURGERY AND ORTHOPEDIC SPECIALISTS MEDICAL CLINIC,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTORNEY
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:310-657-2202
Mailing Address - Street 1:8641 WILSHIRE BLVD
Mailing Address - Street 2:# 205
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2900
Mailing Address - Country:US
Mailing Address - Phone:310-657-2202
Mailing Address - Fax:310-657-8871
Practice Address - Street 1:8641 WILSHIRE BLVD
Practice Address - Street 2:# 205
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2900
Practice Address - Country:US
Practice Address - Phone:310-657-2202
Practice Address - Fax:310-657-8871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty