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 provides Specialist services 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 Not confirmed with CMS for 15 years — call before visiting
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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