Sierra Orthopedic Laboratory, Inc.

LBN: Sierra Orthopedic Laboratory, Inc.
Sierra Orthopedic Laboratory, Inc. is an health care organization with primary practice located at 4847 Old Redwood Hwy , Santa Rosa CA 95403-1415. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Sierra Orthopedic Laboratory, Inc. can be contacted via phone (707) 528-9808, or through Jeffries, David John via phone (707) 528-9808.

Contact Information

Primary practice address
4847 Old Redwood Hwy Santa Rosa CA 95403-1415
Phone: (707) 528-9808
Fax: (707) 528-9818
Website:
Map and Directions
Authorized official contact:
Name: Jeffries, David John Certified Orthotist (CO)
Phone: (707) 528-9808

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1659366003
LBN Legal business name Sierra Orthopedic Laboratory, Inc.
DBA Doing business as
Authorized official Jeffries, David John Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 18th, 2014 - about 12 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 1659366003 NPPES
California MEDICAID GFC000230
California MEDICAID CMS162587

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