institution
Russell John Molina
Prosthetic/Orthotic Supplier in Palm Desert, California
NPI 1356549836

Russell John Molina is a Prosthetic/Orthotic Supplier based in Palm Desert, CA. Russell John Molina practices in Palm Desert, CA. The NPI Number for Russell John Molina is 1356549836 and holds a License No. (California).

The current practice location address for Russell John Molina is 73345 Highway 111, Palm Desert, CA and can be reached out via phone at 760-345-4779 and via fax at 760-772-3904.

Location: 73345 Highway 111, Palm Desert, CA, 92260-3909
institution
Provider Profile Details
NPI Number
1356549836
Provider Name
Russell John Molina
Credential
Provider Entity Type
Organization
Address
73345 Highway 111, Palm Desert, CA, 92260-3909
Phone Number
760-345-4779
Fax Number
760-772-3904
Provider Enumeration Date
07/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XC0026070 05 CA
institution
Provider Business Practice Location Address Details
Address
73345 Highway 111
City
State
Zip
92260-3909
Phone Number
760-345-4779
Fax Number
760-772-3904
person
Provider Business Mailing Address Details
Address
73345 Highway 111
City
State
Zip
92260-3909
Phone Number
760-345-4779
Fax Number
760-772-3904
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
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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