Organization · NPI-2

Custom Orthopedic Appliances, INC.

Prosthetic/Orthotic Supplier · San Francisco, CA

NPI number1821175050
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1821175050
Entity type
Organization (NPI-2)
Legal business name
Custom Orthopedic Appliances, INC.
Organization subpart
No
Enumeration date
Nov 1, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

340 Divisadero St
San Francisco, CA 94117-2209

Phone 415-552-1330 · Fax 415-861-2955

Mailing address

340 Divisadero St
San Francisco, CA 94117-2209

Phone 415-552-1330 · Fax 415-861-2955

Authorized official

Walter Koniuk
Owner/Certified Orthotist
4155521330

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.

Other Prosthetic/Orthotic Supplier providers in San Francisco, CA