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San Joaquin Orthotics & Prosthetics
Prosthetic/Orthotic Supplier in Stockton, California
NPI 1649290107

San Joaquin Orthotics & Prosthetics is a Prosthetic/Orthotic Supplier based in Stockton, CA. San Joaquin Orthotics & Prosthetics practices in Stockton, CA. The NPI Number for San Joaquin Orthotics & Prosthetics is 1649290107 and holds a License No. 07-00072230 (California).

The current practice location address for San Joaquin Orthotics & Prosthetics is 2211 N California St, Stockton, CA and can be reached out via phone at 209-932-0170 and via fax at 209-932-0172.

Location: 2211 N California St, Stockton, CA, 95204-5503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649290107
Provider Name
San Joaquin Orthotics & Prosthetics
Credential
Provider Entity Type
Organization
Address
2211 N California St, Stockton, CA, 95204-5503
Phone Number
209-932-0170
Fax Number
209-932-0172
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ07247Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2211 N California St
City
Stockton
State
California
Zip
95204-5503
Phone Number
209-932-0170
Fax Number
209-932-0172
person
Provider Business Mailing Address Details
Address
2211 N California St
City
Stockton
State
California
Zip
95204-5503
Phone Number
209-932-0170
Fax Number
209-932-0172
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
07-00072230 (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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