Diablo Prosthetics & Orthotics, Inc

LBN: Diablo Prosthetics & Orthotics, Inc
Diablo Prosthetics & Orthotics, Inc is an health care organization with primary practice located at 2157 Country Hills Dr Ste 208 , Antioch CA 94509-7401. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Diablo Prosthetics & Orthotics, Inc can be contacted via phone (925) 755-9507, or through Ellis, Glen S via phone (209) 612-6168.

Contact Information

Primary practice address
2157 Country Hills Dr Ste 208 Antioch CA 94509-7401
Phone: (925) 755-9507
Fax: (925) 755-9454
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Glen S C.P.O., MBA
Phone: (209) 612-6168

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1386930873
LBN Legal business name Diablo Prosthetics & Orthotics, Inc
DBA Doing business as
Authorized official Ellis, Glen S C.P.O., MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2011
Last updated Feb 8th, 2024 - about 10 months 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 1386930873 NPPES
California MEDICAID 1386930873

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