Orthovantage, INC
Prosthetic/Orthotic Supplier in Aliso Viejo, CA. Organization (NPI-2).
NPI number1750596995
StatusActive
Last updated in NPPESSep 28, 2011
Details
- NPI
- 1750596995
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthovantage, INC
- Organization subpart
- No
- Enumeration date
- May 11, 2007
- Last updated
- Sep 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Practice location
27 BrooklineAliso Viejo, CA 92656-1461
Phone 949-443-4414 · Fax 949-493-4754
Mailing address
27 BrooklineAliso Viejo, CA 92656-1461
Phone 949-443-4414 · Fax 949-493-4754
Authorized official
Soren Lind
Manager
9494434418
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