Provider Demographics
NPI:1881692051
Name:ACCURATE ORTHOPEDIC CARE INC
Entity type:Organization
Organization Name:ACCURATE ORTHOPEDIC CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:KRISTY
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-515-8484
Mailing Address - Street 1:PO BOX 2040
Mailing Address - Street 2:STE A12
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92628-2040
Mailing Address - Country:US
Mailing Address - Phone:714-241-6844
Mailing Address - Fax:714-241-1319
Practice Address - Street 1:1835 WHITTIER AVE
Practice Address - Street 2:A-12
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-4577
Practice Address - Country:US
Practice Address - Phone:949-515-8484
Practice Address - Fax:949-515-8488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAEAA100-553961332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5503450001Medicare NSC