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Orthoodntics Only
Preferred Provider Organization in Hawthorne, California
NPI 1659414142

Orthoodntics Only is a Preferred Provider Organization based in Hawthorne, CA. Orthoodntics Only practices in Hawthorne, CA. The NPI Number for Orthoodntics Only is 1659414142 and holds a License No. 17997 (California).

The current practice location address for Orthoodntics Only is 11633 Hawthorne Blvd, Hawthorne, CA and can be reached out via phone at 310-644-4412 and via fax at 310-644-7355.

Location: 11633 Hawthorne Blvd, Hawthorne, CA, 90250-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659414142
Provider Name
Orthoodntics Only
Credential
Provider Entity Type
Organization
Address
11633 Hawthorne Blvd, Hawthorne, CA, 90250-2321
Phone Number
310-644-4412
Fax Number
310-644-7355
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
189379 01 CA CIGNA
259102 01 CA DELTACARE PMI
B102 01 CA GOLDENWEST
98118 01 CA AETNA DMO
105969 01 CA CIGNA
G90737-01 01 CA DENTICAL
102231 01 CA DHS INSURANCE
7072 01 CA PACIFIC UNION
549733 01 CA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
11633 Hawthorne Blvd
City
Hawthorne
State
California
Zip
90250-2321
Phone Number
310-644-4412
Fax Number
310-644-7355
person
Provider Business Mailing Address Details
Address
11633 Hawthorne Blvd
City
Hawthorne
State
California
Zip
90250-2321
Phone Number
310-644-4412
Fax Number
310-644-7355
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
17997 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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