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Temecula Valley Orthoitcs & Prosthetics, Inc.
Prosthetic/Orthotic Supplier in Wildomar, California
NPI 1649204801

Temecula Valley Orthoitcs & Prosthetics, Inc. is a Prosthetic/Orthotic Supplier based in Wildomar, CA. Temecula Valley Orthoitcs & Prosthetics, Inc. practices in Wildomar, CA. The NPI Number for Temecula Valley Orthoitcs & Prosthetics, Inc. is 1649204801 and holds a License No. CPO19140 (California).

The current practice location address for Temecula Valley Orthoitcs & Prosthetics, Inc. is 36243 Inland Valley Dr Ste 30, Wildomar, CA and can be reached out via phone at 951-696-4447 and via fax at 951-696-4448.

Location: 36243 Inland Valley Dr Ste 30, Wildomar, CA, 92595-9547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649204801
Provider Name
Temecula Valley Orthoitcs & Prosthetics, Inc.
Credential
Provider Entity Type
Organization
Address
36243 Inland Valley Dr Ste 30, Wildomar, CA, 92595-9547
Phone Number
951-696-4447
Fax Number
951-696-4448
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ03626Z 01 CA BLUE SHIELD PROVIDER NUMB
4898339 01 CA BLUE CROSS PROVIDER NUMBE
5573 01 CA HEALTH NET PROVIDER NUMBE
XC0019140 05 CA
CMS170123 05 CA
institution
Provider Business Practice Location Address Details
Address
36243 Inland Valley Dr Ste 30
City
Wildomar
State
California
Zip
92595-9547
Phone Number
951-696-4447
Fax Number
951-696-4448
person
Provider Business Mailing Address Details
Address
36243 Inland Valley Dr Ste 30
City
Wildomar
State
California
Zip
92595-9547
Phone Number
951-696-4447
Fax Number
951-696-4448
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CPO19140 ()
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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