Western Orthopedic Medical Center

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A-26388 Issued in CA

Legal business name

WESTERN ORTHOPEDIC MEDICAL CENTER

Practice address

5900 Pacific Blvd
Suite 202-a
Huntington Park, CA 90255-2914

Phone

(323) 278-1135

Fax

(323) 278-9319

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Octavio Diaz-Lizarraga, M.D.

Title

Owner

Phone

(323) 278-1135

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1831361245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 PACIFIC BLVD",
            "address_2": "SUITE 202-A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552914",
            "telephone_number": "323-278-1135",
            "fax_number": "323-278-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 PACIFIC BLVD",
            "address_2": "SUITE 202-A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552914",
            "telephone_number": "323-278-1135",
            "fax_number": "323-278-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ORTHOPEDIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "DIAZ-LIZARRAGA",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-278-1135",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A-26388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080570",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W6033A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shina Webb
• Runhua Wen
• Austin Caleb West
• Western Acute Care Physicians, Inc.
• Western Dental Services, Inc.
• Meigan Whitcomb
• Dora White, RD
• Jerzy Wierzbicki
• Rosalyn Star Wiley
• Derrick Williams

• Orthopaedic Surgery Physician in Huntington Park, CA
• Providers in Huntington Park, 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 25, 2008; 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.