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Performance Prosthetic Orthotic Center
Prosthetic/Orthotic Supplier in Santa Monica, California
NPI 1265440234

Performance Prosthetic Orthotic Center is a Prosthetic/Orthotic Supplier based in Santa Monica, CA. Performance Prosthetic Orthotic Center practices in Santa Monica, CA. The NPI Number for Performance Prosthetic Orthotic Center is 1265440234 and holds a License No. 43027 (California).

The current practice location address for Performance Prosthetic Orthotic Center is 2820 Santa Monica Blvd, Santa Monica, CA and can be reached out via phone at 310-829-2322 and via fax at 310-315-3634. You can also correspond with Performance Prosthetic Orthotic Center through the mailing address at PO BOX 3256, SANTA MONICA, CA - 90408-3256 (mailing address contact number: 310-829-2322).

Location: 2820 Santa Monica Blvd, Santa Monica, CA, 90408-3256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265440234
Provider Name
Performance Prosthetic Orthotic Center
Credential
Provider Entity Type
Organization
Address
2820 Santa Monica Blvd, Santa Monica, CA, 90408-3256
Phone Number
310-829-2322
Fax Number
310-315-3634
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GXC000450 05 CA
institution
Provider Business Practice Location Address Details
Address
2820 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2410
Phone Number
310-829-2322
Fax Number
310-315-3634
person
Provider Business Mailing Address Details
Address
2820 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2410
Phone Number
310-829-2322
Fax Number
310-315-3634
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
43027 (California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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