Athena Prosthetic Services Incorporated
Prosthetic/Orthotic Supplier in Arcadia, CA. Organization (NPI-2).
NPI number1235348293
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1235348293
- Entity type
- Organization (NPI-2)
- Legal business name
- Athena Prosthetic Services Incorporated
- Organization subpart
- No
- Enumeration date
- May 22, 2007
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
2824 Fairgreen AveArcadia, CA 91006-5522
Phone 626-256-6360
Mailing address
2824 Fairgreen AveArcadia, CA 91006-5522
Phone 626-256-6360
Authorized official
Kevin B Mohlman
Owner Prosthetist
6262566360
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