Provider Demographics
NPI:1356362438
Name:THE ORTHOPAEDIC GROUP OF SF INC A MEDICAL GROUP
Entity type:Organization
Organization Name:THE ORTHOPAEDIC GROUP OF SF INC A MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:NAN
Authorized Official - Last Name:SCIARONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-992-7700
Mailing Address - Street 1:PO BOX 748327
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-8327
Mailing Address - Country:US
Mailing Address - Phone:650-992-7700
Mailing Address - Fax:650-756-6254
Practice Address - Street 1:1800 SULLIVAN AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015
Practice Address - Country:US
Practice Address - Phone:650-992-7700
Practice Address - Fax:650-756-6254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0365730001Medicare NSC
CAZZZ76286ZMedicare PIN