West Coast Orthotic & Prosthetic Ser Inc

LBN: West Coast Orthotic & Prosthetic Ser Inc
West Coast Orthotic & Prosthetic Ser Inc is an health care organization with primary practice located at 400 E Kettleman Ln Suite 1, Lodi CA 95240-5962. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. West Coast Orthotic & Prosthetic Ser Inc can be contacted via phone (209) 333-1148, or through Vera, David R via phone (209) 333-1148.

Contact Information

Primary practice address
400 E Kettleman Ln Suite 1 Lodi CA 95240-5962
Phone: (209) 333-1148
Fax: (209) 333-0624
Website:
Map and Directions
Authorized official contact:
Name: Vera, David R Certified Orthotist (CO)
Phone: (209) 333-1148

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1841261955
LBN Legal business name West Coast Orthotic & Prosthetic Ser Inc
DBA Doing business as
Authorized official Vera, David R Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 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 1841261955 NPPES
California MEDICAID GXC000100

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