Prosthetic & Orthotic Group San Gabriel Valley, Inc

LBN: Prosthetic & Orthotic Group San Gabriel Valley, Inc
Prosthetic & Orthotic Group San Gabriel Valley, Inc is an health care organization with primary practice located at 5658 Sepulveda Blvd Ste 206 , Van Nuys CA 91411-2951. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Prosthetic & Orthotic Group San Gabriel Valley, Inc can be contacted via phone (818) 538-5613, or through Rodriguez, Mark A. via phone (626) 643-5063.

Contact Information

Primary practice address
5658 Sepulveda Blvd Ste 206 Van Nuys CA 91411-2951
Phone: (818) 538-5613
Fax: (626) 256-1405
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Mark A.
Phone: (626) 643-5063

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1831713189
LBN Legal business name Prosthetic & Orthotic Group San Gabriel Valley, Inc
DBA Doing business as
Authorized official Rodriguez, Mark A.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2020
Last updated Jun 2nd, 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 1831713189 NPPES
California MEDICAID 1548718612

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