Advance Orthotics And Prosthetics
Prosthetic/Orthotic Supplier in Azusa, CA. Organization (NPI-2).
NPI number1982197794
StatusActive
Last updated in NPPESJun 7, 2018
Details
- NPI
- 1982197794
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Orthotics And Prosthetics
- Organization subpart
- No
- Enumeration date
- Jun 7, 2018
- Last updated
- Jun 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
1009 N Orange AveAzusa, CA 91702-1920
Phone 626-757-1920
Mailing address
1009 N Orange AveAzusa, CA 91702-1920
Phone 626-757-1920
Authorized official
Simon Lam
Manager
6267571920
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