OrganizationActive
Back to Work Orthopedic Medical Group
NPI 1619246980 · Preferred Provider Organization · Commerce, CA
Provider details
- NPI number
- 1619246980
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kevin Park, MD(323) 726-3212
Specialties & taxonomies
Managed Care Organizations
Practice location
6538 Telegraph Rd
Commerce, CA 90040-2518
Phone: (323) 726-3212
Approximate (ZIP-level) locationGet directions
Mailing address
6538 Telegraph Rd
Commerce, CA 90040-2518
Registry dates
- Enumerated
- 2011-12-15
- Last updated
- 2011-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.