Coastal Orthotic And Prosthetic Services, Inc

LBN: Coastal Orthotic And Prosthetic Services, Inc
Coastal Orthotic And Prosthetic Services, Inc is an health care organization with primary practice located at 2365 Harrison Ave , Eureka CA 95501-3216. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Coastal Orthotic And Prosthetic Services, Inc can be contacted via phone (707) 445-3111, or through Quintana, Alfred M via phone (707) 445-3111.

Contact Information

Primary practice address
2365 Harrison Ave Eureka CA 95501-3216
Phone: (707) 445-3111
Fax: (707) 442-8792
Website:
Map and Directions
Authorized official contact:
Name: Quintana, Alfred M CPO
Phone: (707) 445-3111

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1457533531
LBN Legal business name Coastal Orthotic And Prosthetic Services, Inc
DBA Doing business as
Authorized official Quintana, Alfred M CPO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 30th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457533531 NPPES
California MEDICAID GXC000320

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