| Organization Name: | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE, LP |
| NPI Number: | 1144632753 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TODD D. MOLDAWER (MANAGING PARTNER) |
| Mailing Address: | 19950 Rinaldi St Porter Ranch |
| State: | CA US |
| Postal Code: | 913264141 |
| Phone Number: | 8189016600 |
| Fax Number: | 8189977826 |
| NPI Enumeration Date: | 05/30/2014 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |