Los Angeles Shoulder Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A107628 Issued in CA

Legal business name

LOS ANGELES SHOULDER INC

Practice address

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266-6814

Phone

(310) 546-3461

Fax

(310) 798-8231

NPI assigned

Mar 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy August Hartshorn, MD

Title

Owner

Phone

(310) 546-3461

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1023401585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 OCEAN VIEW DR",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553778",
            "telephone_number": "310-546-3461",
            "fax_number": "310-798-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD",
            "address_2": "STE 200",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666814",
            "telephone_number": "310-546-3461",
            "fax_number": "310-798-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES SHOULDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "AUGUST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-546-3461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A107628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.