Back to Work Orthopedic Medical Group

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

BACK TO WORK ORTHOPEDIC MEDICAL GROUP

Practice address

15330 Valley View Ave Ste 1
La Mirada, CA 90638-5238

Phone

(562) 802-0208

NPI assigned

Dec 14, 2011

Last updated

Dec 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Park

Title

MD

Phone

(562) 802-0208

Specialties & licenses 1

Addresses

Tax ID family

Back to Work Orthopedic Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Back to Work Orthopedic Medical Group

  • Preferred Provider Organization
  • Paramount, CA
  • NPI 1376076620
  NPD tax ID
• Back to Work Orthopedic Medical Group

  • Preferred Provider Organization
  • Commerce, CA
  • NPI 1619246980
  NPD tax ID

Locations

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1306115795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15330 VALLEY VIEW AVE STE 1",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15330 VALLEY VIEW AVE STE 1",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385238",
            "telephone_number": "562-802-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO WORK ORTHOPEDIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "562-802-0208"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• At Jessica Luu DPM Inc
• Anthony Atalla, DMD
• Austin & Vatave MD's Inc.
• Eric Avelar, PPSP
• Babak Yousefi DDS Inc
• Ginalyn Asuncion Baesa
• Gurtej Singh Bajaj
• Besty A Barber, PSYD
• Joseph Joshua Bartolone, RD
• Kyla Baum, RDN

• Preferred Provider Organization in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.