FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC.
NPI 1174802433
Specialist in Huntington Beach, CA

Q: What is Fullerton Orthopaedic Surgery Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 04, 2011

15039 GOLDENWEST ST, HUNTINGTON BEACH, CA 92647(714) 893-7400(714) 893-7022 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fullerton Orthopaedic Surgery Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC. (NPI 1174802433) is a healthcare organization registered as a specialist in Huntington Beach, California and active in the NPI registry since August 2011. The organization lists Kendall Wagner, President, as its authorized official.

NPPES Registry Identity

NPI1174802433

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameFULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC.

Location Address15039 GOLDENWEST STHuntington Beach, CA 92647-2710

Mailing Address101 Laguna Rd Ste AFullerton, CA 92835-3635 · (714) 879-0050 · Fax (714) 879-0249

Phone(714) 893-7400

Fax(714) 893-7022

Organization SubpartNo

Authorized OfficialKendall WagnerPresident · (714) 879-0050

Enumeration DateAugust 4, 2011

✔ NPI 1174802433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 20A9973

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

15039 GOLDENWEST ST, Huntington Beach, CA 92647

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Other Identifiers 1

OtherW1365CA · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL NGUYEN MD INC

Anesthesiology