Provider Demographics
NPI:1245340231
Name:ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTER, INC
Entity type:Organization
Organization Name:ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-670-1340
Mailing Address - Street 1:5451 LA PALMA AVE
Mailing Address - Street 2:SUITE 25
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1728
Mailing Address - Country:US
Mailing Address - Phone:714-670-1340
Mailing Address - Fax:714-443-3780
Practice Address - Street 1:2063 S. ATLANTIC BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754
Practice Address - Country:US
Practice Address - Phone:323-796-0170
Practice Address - Fax:323-796-0220
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARTHRITIS AND OSTEOPOROSIS MEDICAL CENTERS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-30
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0092742Medicaid
CADA5312OtherRAILROAD MEDICARE
CAGR0092742Medicaid
CAW15535AMedicare UPIN