Provider Demographics
NPI:1679131114
Name:BCI ORTHOPAEDICS
Entity Type:Organization
Organization Name:BCI ORTHOPAEDICS
Other - Org Name:SOURTHEN CALIFORNIA ORTHOPAEDIC TRAUMA SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-767-0800
Mailing Address - Street 1:17525 VENTURA BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-5109
Mailing Address - Country:US
Mailing Address - Phone:818-986-2861
Mailing Address - Fax:818-638-5762
Practice Address - Street 1:24331 EL TORO RD STE 200
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-3116
Practice Address - Country:US
Practice Address - Phone:949-767-0800
Practice Address - Fax:949-900-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty