GOLDEN STATE BONE AND JOINT CLINIC


Address: 9033 Wilshire Blvd, Suite 403, Beverly Hills, CA 90210-1847
Phone: 3108583800

GOLDEN STATE BONE AND JOINT CLINIC (NPI# 1508139957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508139957
Entity Type Organization
Organization Name GOLDEN STATE BONE AND JOINT CLINIC
Practice Address 9033 Wilshire Blvd
Suite 403
Beverly Hills
CA 90210-1847
Practice Telephone 3108583800
Practice Fax Number 8885896241
Mailing Telephone 3108583800
Mailing Fax Number 8885896241
Enumeration Date 2012-02-15
Last Update Date 2013-05-21
Authorized Official Name MATTHEW J. ENNA (OWNER)
Authorized Official Telephone 3108583880
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
A100628 CA Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
A100628 CA Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery A100628 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 9033 WILSHIRE BLVD
SUITE 403
City BEVERLY HILLS
State CA
Zip Code 90210-1847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376535690 Laurel Jeanine Schramm Pediatrics 9033 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211-1837 2005-08-22
1730638941 Sonia A Rebeles Md Obstetrics & Gynecology 9033 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-1837 2016-09-28
1881068807 Gastroenterology Hospitalist Associates Inc Internal Medicine 9033 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-1837 2015-11-16
1497130405 Abc Pharmacy of Beverly Hills Inc Pharmacy 9033 Wilshire Blvd, #102, Beverly Hills, CA 90211-1837 2015-07-21
1578956249 Gregg K. Nishi, Md, A California Professional Corporation Clinic/Center 9033 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-1837 2015-03-05
1265871727 Megan A. Selig Physician Assistant Inc. Physician Assistant 9033 Wilshire Blvd, Suite 400, Beverly Hills, CA 90211-1837 2013-06-18
1295075760 Nelson M Fuentebella Physician Assistant 9033 Wilshire Blvd, 401, Beverly Hills, CA 90211-1837 2013-02-21
1134405020 Jessica Dubelman Physician Assistant 9033 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-1837 2011-10-24
1518257310 K and B Surgical Center Clinic/Center 9033 Wilshire Blvd, Suite 210, Beverly Hills, CA 90211-1837 2011-04-13
1477843704 Charles Hsu Md Inc Plastic Surgery 9033 Wilshire Blvd, Suite 408, Beverly Hills, CA 90211-1837 2011-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225643786 Diane Garcia Social Worker 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 2020-09-11
1043834765 Sheryl Kipper Weissberg Marriage & Family Therapist 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 2020-05-29
1093373912 Jill Daloria Speech-Language Pathologist 201 N Crescent Drive, Beverly Hills, CA 90210 2019-06-05
1902363203 Barry J Brock Md Inc. Obstetrics & Gynecology 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 2019-02-23
1861983884 Beverly Hills Hair Free Corp Contractor 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 2018-05-24
1245745389 Richard L Gilbert Marriage & Family Therapist 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 2017-12-12
1588180970 Richard Paul Braun IIi Chiropractor 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 2017-08-17
1538683677 Bh Therapy Corp. Psychologist 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 2017-07-31
1114374394 Marvin Berkowitz Family Medicine 614 N Roxbury Dr., Beverly Hills, CA 90210 2016-05-18
1104287077 Eva Silegy Nurse Anesthetist, Certified Registered 465 N. Roxbury Drive, Beverly Hills, CA 90210 2016-03-18
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235637976 Emergency Surgical Assistants Inc Orthopaedic Surgery 435 N Roxbury Dr Ste 100, Beverly Hills, CA 90210-5003 2018-01-29
1831503143 Richard A Rogachefsky, Md, Pa Orthopaedic Surgery 8929 Wilshire Blvd Ph Suite, Beverly Hills, CA 90211-1954 2014-06-13
1265781538 Taryn Rose Orthopaedic Surgery 215 S Bedford Dr, Beverly Hills, CA 90212-3722 2012-09-02
1114176021 Alan S. Roberts Orthopaedic Surgery 8920 Wilshire Boulevard, Suite #418, Beverly Hills, CA 90211 2008-09-16
1184886954 Daniel Kharrazi Md Inc Orthopaedic Surgery 9231 W Olympic Blvd Ste 150, Beverly Hills, CA 90212-4658 2008-07-01
1376719922 J Michael Wiater Md,pc Orthopaedic Surgery 17877 W Fourteen Mile Rd, Beverly Hills, MI 48025 2008-05-05
1952597320 Steven J Waltrip Md Inc Orthopaedic Surgery 465 N Roxbury Dr Ste 750, Beverly Hills, CA 90210-4210 2007-09-19
1801087804 Tero John Walker Orthopaedic Surgery 3853 W Brazilnut Rd, Beverly Hills, FL 34465-3485 2007-08-05
1508986266 Phillip Jay Kanter Orthopaedic Surgery 99 N La Cienega Blvd Ste 304, Beverly Hills, CA 90211-2286 2007-03-29
1588798144 S.m. Rezaian Orthopaedic Surgery 8677 Wilshire Blvd, Beverly Hills, CA 90211 2007-03-15
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Competitor

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City BEVERLY HILLS
Zip Code 90210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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