Jax Orthopedics, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G83591 Issued in CA

Legal business name

JAX ORTHOPEDICS, INC.

Practice address

1200 Rosecrans Ave Ste 110
Manhattan Beach, CA 90266-2470

Phone

(424) 220-4400

NPI assigned

Mar 7, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Pennie Leann Telarroja

Title

Management

Phone

(424) 220-4400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1366944274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 LUBEC ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403010",
            "telephone_number": "562-682-7978",
            "fax_number": "424-220-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 110",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662470",
            "telephone_number": "424-220-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX ORTHOPEDICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "TELARROJA",
        "authorized_official_first_name": "PENNIE",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "424-220-4400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G83591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joel D. Gould, D.D.S.
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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 7, 2018; 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.