Active NPI
Rancho Valley Orthopaedic Surgery Medical Clinic Inc
- Orthopaedic Surgery Physician
- Temecula, CA
National Provider Identifier
1356431233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- RANCHO VALLEY ORTHOPAEDIC SURGERY MEDICAL CLINIC INC
- Practice address
- 29373 Rancho Calif Rd
Temecula, CA 92591-5201 - Phone
- (951) 699-4472
- Fax
- (951) 694-8424
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew C Kim, MD
- Title
- President
- Phone
- (951) 699-4472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
29373 Rancho Calif Rd
Temecula, CA 92591-5201
Mailing address
29373 Rancho Calif Rd
Temecula, CA 92591-5201
Phone (951) 699-4472
National Provider Directory
National Provider DirectoryLocations
29373 Rancho California Rd
Temecula, CA 92591
Phone (909) 699-4472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1356431233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 RANCHO CALIF RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915201",
"telephone_number": "951-699-4472",
"fax_number": "951-694-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29373 RANCHO CALIF RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915201",
"telephone_number": "951-699-4472",
"fax_number": "951-694-8424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANCHO VALLEY ORTHOPAEDIC SURGERY MEDICAL CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-699-4472",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.