Vista Bay Medical Group in Torrance - Orthopaedic Trauma
Vista Bay Medical Group - NPI 1386841278
Vista Bay Medical Group is a Orthopaedic Trauma in Torrance, California. Vista Bay Medical Group practices all healthcare services and medical treatments related to Orthopaedic Trauma. The NPI Number for Vista Bay Medical Group is 1386841278. The last update date is 2020-08-22.
Vista Bay Medical Group's current location address is 21320 Hawthorne Blvd, Torrance, California. You can contact this provider via phone number 3105406770 and fax number 3105402004. The mailing address for Vista Bay Medical Group is 21320 Hawthorne Blvd, Torrance, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vista Bay Medical Group |
|---|---|
| Address | 21320 Hawthorne Blvd, Torrance, California |
| Phone Number | 3105406770 |
| Fax Number | 3105402004 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Dimmick W Jens |
| Credentials | M.D. |
| Telephone Number | 3105406770 |
NPI Number Detail
| NPI Number | 1386841278 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 21320 Hawthorne Blvd |
|---|---|
| City | Torrance |
| State | California (CA) |
| Post Code | 905035606 |
| Phone Number | 3105406770 |
| Fax Number | 3105402004 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Trauma |
|---|---|
| Taxonomy | 207Xx0801X |
| Licence No | A22090 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic defo |
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What is the unique 10-digit identifier code issued to Vista Bay Medical Group by the Centers for Medicare & Medicaid Services?
The Vista Bay Medical Group has been assigned the NPI (National Provider Identifier) 1386841278 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Vista Bay Medical Group located?
The Vista Bay Medical Group is located at 21320 Hawthorne Blvd, Torrance, CA 905035606.
What is Vista Bay Medical Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vista Bay Medical Group's area of specialization is Orthopaedic Trauma, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0801X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386841278 to Vista Bay Medical Group?
The Centers for Medicare & Medicaid Services assigned the 1386841278 to Vista Bay Medical Group on 2007-07-02.
As of what date were the details related to Vista Bay Medical Group most recently updated or revised?
The information pertaining to Vista Bay Medical Group, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.