Diablo Prosthetics & Orthotics Inc.

LBN: Diablo Prosthetics & Orthotics Inc.
Diablo Prosthetics & Orthotics Inc. is an health care organization with primary practice located at 120 La Casa Via Suite 202, Walnut Creek CA 94598-3067. 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) 930-7700, or through Ellis, Glen S via phone (209) 612-6168.

Contact Information

Primary practice address
120 La Casa Via Suite 202 Walnut Creek CA 94598-3067
Phone: (925) 930-7700
Fax: (925) 930-7609
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 1548576366
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 Aug 31st, 2010
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 1548576366 NPPES
California MEDICAID 1548576366

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