Socal Medical Specialist Medical Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G48048 Issued in CA

Legal business name

SOCAL MEDICAL SPECIALIST MEDICAL CORPORATION

Practice address

3851 Katella Ave
Suite 150
Los Alamitos, CA 90720-3309

Phone

(562) 314-1400

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Perry Robert Secor, M.D.

Title

President

Phone

(562) 314-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1114398617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11974 RED HILL AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053106",
            "telephone_number": "562-314-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "SUITE 150",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203309",
            "telephone_number": "562-314-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL MEDICAL SPECIALIST MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "SECOR",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-314-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G48048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Smith, PH.D.
• Roberta Marie Smith, PA
• Wesley Eugene Smith
• Crystal Sobrian, REGISTERED NURSE
• Socal Gastroenterology Corp.
• Dana Son
• Brooklyn Nyela Sosa
• Southern California Neurodiagnostic Center, Inc
• Southern California Urology, Inc.
• Southland Renal Medical Group, Inc.

• Orthopaedic Surgery Physician in Los Alamitos, CA
• Providers in Los Alamitos, 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 Oct 12, 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.