Organization · NPI-2

American Orthotics & Prosthetics, LLC.

Prosthetic/Orthotic Supplier · Riverside, CA

NPI number1104856806

StatusActive

Last updated in NPPESNov 5, 2012

Details

NPI: 1104856806
Entity type: Organization (NPI-2)
Legal business name: American Orthotics & Prosthetics, LLC.
Organization subpart: No
Enumeration date: Jul 5, 2006
Last updated: Nov 5, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
335E00000X	Prosthetic/Orthotic Supplier	–	–	Yes
332BC3200X	Durable Medical Equipment & Medical Supplies, Customized Equipment	–	–

Practice location

3714 Tibbetts St
Suite 104
Riverside, CA 92506-2661

Phone 951-367-6702 · Fax 951-367-7789

Mailing address

Po Box 2786
Riverside, CA 92516-2786

Phone 951-367-6702 · Fax 951-367-7789

Authorized official

David S. Sulis
Prosthetist Orthotist (Owner)
9513676702

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