Back to Work Orthopedic Medical Group
Organization Active NPI Preferred Provider Organization · Paramount, CA
NPI 1700155199 · NPPES record last updated Dec 14, 2011
Key facts
- NPI
- 1700155199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preferred Provider Organization 305R00000X
- License
- A67778 (CA)
- Legal business name
- BACK TO WORK ORTHOPEDIC MEDICAL GROUP
- Practice address
- 7300 Alondra Blvd Ste 101
Paramount, CA 90723-4000 - Phone
- (562) 531-8300
- NPI assigned
- Dec 14, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin Park, MD
- Title
- MD
- Phone
- (562) 531-8300
National Provider Directory
Locations
5203 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 633-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | A67778 | CA | Yes |
Addresses
Primary practice location
7300 Alondra Blvd Ste 101
Paramount, CA 90723-4000
Mailing address
5203 Lakewood Blvd
Lakewood, CA 90712-2438
Phone (562) 633-2273
Other providers in Paramount, CA
- Atlantic Recovery Services
- Aya Alternative Corporation
- Ziyad Ayyoub
- Haifa Azawi
- Back to Work Orthopedic Medical Group
- Alexa Baghdassarian
- Cynthia Elizabeth Barcenas
- Janet Basurto Lopez
- Bayfront Youth and Family Services
- Behavioral Innovation in Nursing Practice
All providers in Paramount, CA · Preferred Provider Organization in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.