Custom Orthopedic Appliances, Inc.

LBN: Custom Orthopedic Appliances, Inc.
Custom Orthopedic Appliances, Inc. is an health care organization with primary practice located at 340 Divisadero St , San Francisco CA 94117-2209. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Custom Orthopedic Appliances, Inc. can be contacted via phone (415) 552-1330, or through Koniuk, Walter via phone (415) 552-1330.

Contact Information

Primary practice address
340 Divisadero St San Francisco CA 94117-2209
Phone: (415) 552-1330
Fax: (415) 861-2955
Website:
Map and Directions
Authorized official contact:
Name: Koniuk, Walter Certified Orthotist (CO)
Phone: (415) 552-1330

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1821175050
LBN Legal business name Custom Orthopedic Appliances, Inc.
DBA Doing business as
Authorized official Koniuk, Walter Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1821175050 NPPES
California MEDICAID GFA000060

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