Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cormorant Orthopaedic Medical Assoc Inc

Organization Orthopaedic Surgery Physician · NPI 1306060587

Cormorant Orthopaedic Medical Assoc Inc is an Orthopaedic Surgery Physician in Orange, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

630 S Glassell St Ste 201
Orange, CA 92866-3090
Phone: (714) 771-5058
Fax: (714) 639-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence C26647 (CA)

Record details

NPI number1306060587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neil Kravetz — President · (714) 771-5058
Other names Cormorant Ortho Med Assoc Inc
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address630 S Glassell St, Ste 201, Orange, CA 92866-3090

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