Vadim Geller
Prosthetic/Orthotic Supplier in Encino, CA. Individual provider (NPI-1).
NPI number1174152003
StatusActive
Last updated in NPPESApr 3, 2020
Details
- NPI
- 1174152003
- Entity type
- Individual (NPI-1)
- Name
- Vadim Geller
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2020
- Certification date
- Apr 3, 2020
- Last updated
- Apr 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
4549 White Oak PlEncino, CA 91316-4334
Phone 310-936-7523
Mailing address
4549 White Oak PlEncino, CA 91316-4334
Phone 310-936-7523
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 Prosthetic/Orthotic Supplier providers in Encino · All 4,565 providers in Encino
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