Ortho Avr Inc a Medical Corporation

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

ORTHO AVR INC A MEDICAL CORPORATION

Practice address

6200 Wilshire Blvd
Suite 910
Los Angeles, CA 90048-5801

Phone

(323) 965-5088

Fax

(323) 965-1046

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Gabriel Rubanenko, M.D.

Title

Owner

Phone

(323) 965-5088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1679881858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-965-5088",
            "fax_number": "323-965-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 910",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485801",
            "telephone_number": "323-965-5088",
            "fax_number": "323-965-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO AVR INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "RUBANENKO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-965-5088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ortega
• William Edwardo Ortega
• Robert Wayne Ortego, M.D.
• Lydia Ortez
• Maria Isabel Ortez, MSW
• Ortho on Demand P.C.
• Ortho Urgent Care Medical Group, Inc.
• Orthohealing Center Association a Ca General Partnership
• Orthopaedic Hospital
• Orthopaedic Hospital

• Pain Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.