Provider Demographics
NPI:1740641257
Name:URGENT ORTHOPAEDIC CARE MULTI SPECIALTY MEDICAL GROUP INC.
Entity type:Organization
Organization Name:URGENT ORTHOPAEDIC CARE MULTI SPECIALTY MEDICAL GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VLAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GENDELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-344-6784
Mailing Address - Street 1:14435 HAMLIN ST
Mailing Address - Street 2:UNITE B
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6205
Mailing Address - Country:US
Mailing Address - Phone:818-616-5533
Mailing Address - Fax:818-264-0812
Practice Address - Street 1:14435 HAMLIN ST
Practice Address - Street 2:UNITE B
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6205
Practice Address - Country:US
Practice Address - Phone:818-616-5533
Practice Address - Fax:818-264-0812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty