Provider Demographics
NPI:1780803908
Name:ACE ORTHOPEDICS
Entity type:Organization
Organization Name:ACE ORTHOPEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAME
Authorized Official - Suffix:
Authorized Official - Credentials:CPO01871
Authorized Official - Phone:951-929-5000
Mailing Address - Street 1:475 W STETSON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-7073
Mailing Address - Country:US
Mailing Address - Phone:951-929-5000
Mailing Address - Fax:951-929-5033
Practice Address - Street 1:475 W STETSON AVE STE C
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-7073
Practice Address - Country:US
Practice Address - Phone:951-929-5000
Practice Address - Fax:951-929-5033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA335E00000X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies