Organization · NPI-2

Hanger Prosthetics & Orthotics West, INC.

Prosthetic/Orthotic Supplier · Roseville, CA

NPI number1740213362

StatusActive

Last updated in NPPESFeb 25, 2021

Details

NPI: 1740213362
Entity type: Organization (NPI-2)
Legal business name: Hanger Prosthetics & Orthotics West, INC.
Organization subpart: Yes
Enumeration date: Jul 8, 2006
Certification date: Feb 25, 2021
Last updated: Feb 25, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
335E00000X	Prosthetic/Orthotic Supplier	–	–	Yes
332B00000X	Durable Medical Equipment & Medical Supplies	–	–

Other names

Hanger Clinic (Doing Business As)

Practice location

1411 Secret Ravine Pkwy
Ste 100
Roseville, CA 95661-6042

Phone 916-784-6900

Mailing address

Po Box 650846
Dallas, TX 75265-0846

Authorized official

Grace Angeline
Reg Compliance Specialist III
7149612102

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