Provider Demographics
NPI:1831364975
Name:STAR ORTHOPAEDICS, INC.
Entity type:Organization
Organization Name:STAR ORTHOPAEDICS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-777-8282
Mailing Address - Street 1:PO BOX 6449
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92248-6449
Mailing Address - Country:US
Mailing Address - Phone:760-625-1650
Mailing Address - Fax:760-625-1654
Practice Address - Street 1:47647 CALEO BAY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-8854
Practice Address - Country:US
Practice Address - Phone:760-777-8282
Practice Address - Fax:760-625-1654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG87088207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAR053Medicare PIN
CAG48741Medicare UPIN