Dr. Philip Ormond Merritt
Adult Reconstructive Orthopaedic Surgeon
1505 Wilson Ter Suite 200
Glendale
, California 91206-4071
Dr. Philip Ormond Merritt
Adult Reconstructive Orthopaedic Surgeon
1505 Wilson Ter Suite 200
Glendale
, California 91206-4071
(818) 790-7066
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Philip Ormond Merritt
- 1357 Sugar Loaf Dr
- La Canada, CA
- Zip : 91011-3919
- Phone : (818) 790-7066
Second Address
- Dr. Philip Ormond Merritt
- 1505 Wilson Ter Suite 200
- Glendale, CA
- Zip : 91206-4071
- Fax : (818) 246-7673
- Phone : (818) 246-8974
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G46741 | CA |
National Provider Identifier
| NPI | 1083696074 |
|---|---|
| Provider Name | Dr. Philip Ormond Merritt |
| First Address | La Canada, CA 91011-3919 |
| Second Address | Glendale, CA 91206-4071 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G467410 | (05) | CA |
| A89840 | (02) | CA |
| AM1490705 | DEA (01) | CA |
| G46741 | MEDICAL BOARD (01) | CA |
| RHD 130967 | X-RAY SUPERVISOR & OPERAT (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.