STEVENSON ORTHOPAEDIC MEDICAL CLINIC NPI 1376638965

NPI Information

  • NPI: 1376638965
  • Provider Name: STEVENSON ORTHOPAEDIC MEDICAL CLINIC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 575 E HARDY ST
    SUITE 105
    INGLEWOOD, CA
    ZIP 90301
  • Phone: (310) 674-1211

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NPI Details

STEVENSON ORTHOPAEDIC MEDICAL CLINIC is an orthopaedic surgery in Inglewood, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. STEVENSON ORTHOPAEDIC MEDICAL CLINIC NPI is 1376638965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

575 E HARDY ST
SUITE 105
INGLEWOOD, CA
ZIP 90301-040
Phone: (310) 674-1211
Fax: (310) 674-8668

The provider's authorized official is Donald V Stevenson .
The authorized official title is President and has the following contact phone number (310) 674-1211.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 4/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryG48296CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G48296MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIALICENSE NUMBER
200G482960MEDICAIDCALIFORNIA
3A92805MEDICARE UPINCALIFORNIA
45348800001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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