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Prosthetic & Orthotic Group San Gabriel Valley, Inc
Prosthetic/Orthotic Supplier in Van Nuys, California
NPI 1831713189

Prosthetic & Orthotic Group San Gabriel Valley, Inc is a Prosthetic/Orthotic Supplier based in Van Nuys, CA. Prosthetic & Orthotic Group San Gabriel Valley, Inc practices in Van Nuys, CA. The NPI Number for Prosthetic & Orthotic Group San Gabriel Valley, Inc is 1831713189 and holds a License No. (California).

The current practice location address for Prosthetic & Orthotic Group San Gabriel Valley, Inc is 5658 Sepulveda Blvd Ste 206, Van Nuys, CA and can be reached out via phone at 818-538-5613 and via fax at 626-256-1405.

Location: 5658 Sepulveda Blvd Ste 206, Van Nuys, CA, 91411-2951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831713189
Provider Name
Prosthetic & Orthotic Group San Gabriel Valley, Inc
Credential
Provider Entity Type
Organization
Address
5658 Sepulveda Blvd Ste 206, Van Nuys, CA, 91411-2951
Phone Number
818-538-5613
Fax Number
626-256-1405
Provider Enumeration Date
06/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548718612 05 CA
institution
Provider Business Practice Location Address Details
Address
5658 Sepulveda Blvd Ste 206
City
Van Nuys
State
California
Zip
91411-2951
Phone Number
818-538-5613
Fax Number
626-256-1405
person
Provider Business Mailing Address Details
Address
5658 Sepulveda Blvd Ste 206
City
Van Nuys
State
California
Zip
91411-2951
Phone Number
818-538-5613
Fax Number
626-256-1405
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
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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