Organization · NPI-2

Hanger Prosthetics & Orthotics West, INC.

Prosthetic/Orthotic Supplier · Riverside, CA

NPI number1790796530
StatusActive
Last updated in NPPESMay 25, 2024

Details

NPI
1790796530
Entity type
Organization (NPI-2)
Legal business name
Hanger Prosthetics & Orthotics West, INC.
Organization subpart
Yes
Enumeration date
Aug 10, 2006
Certification date
May 25, 2024
Last updated
May 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Hanger Clinic (Doing Business As)

Practice location

6377 Riverside Ave Ste B100
Riverside, CA 92506-3133

Phone 951-686-5325

Mailing address

Po Box 650846
Dallas, TX 75265-0846

Authorized official

Grace Angeline
Provider Contract Analyst III
7149612102

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