NPI 1073001962 · live from the CMS NPI Registry
Justin Haghverdian, MD
Orthopaedic Surgery, Foot and Ankle Surgery in Orange, CA. National Provider Identifier 1073001962, active.
NPI record
| NPI | 1073001962 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Foot and Ankle Surgery 207XX0004X |
| Practice location | 101 The City Dr S Bldg 29a, Orange, CA 92868 |
| Practice phone | 714-456-7012 |
| Mailing address | 200 S Manchester Ave Ste 300, Orange, CA 92868 |
| Enumerated | April 25, 2018 |
| Last updated | September 4, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | A164530 (CA) |
| Orthopaedic Surgery | 207X00000X | 23680 (NV) |
| Orthopaedic Surgery, Foot and Ankle Surgery primary | 207XX0004X | A164530 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.