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

Fullerton Orthopaedic Surgery Medical Group, Inc

Organization Specialist · NPI 1174802433

Fullerton Orthopaedic Surgery Medical Group, Inc is a Specialist in Huntington Beach, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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

15039 Goldenwest St
Huntington Beach, CA 92647-2710
Phone: (714) 893-7400
Fax: (714) 893-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 20A9973 (CA)

Record details

NPI number1174802433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kendall Wagner — President · (714) 879-0050
NPI enumeratedAugust 4, 2011
Last updated in NPPESAugust 4, 2011
Mailing address101 Laguna Rd Ste A, Fullerton, CA 92835-3635

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