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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WESTLLC NPI 1043613821


NPI Information

NPI: 1043613821
Provider Name: PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
909 S FAIR OAKS AVE
PASADENA, CA
ZIP 91105
Phone: (626) 389-9411
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PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC is a prosthetic orthotic supplier in Pasadena, CA. The provider is 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. PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC NPI is 1043613821. The provider is registered as an organization entity type.

The provider's business location address is:

909 S FAIR OAKS AVE
PASADENA, CA
ZIP 91105-625
Phone: (626) 389-9411

The provider's authorized official is Joanne Lynn Kanas .
The authorized official title is Director and has the following contact phone number (813) 281-7184.

The enumeration date for this NPI number is 10/7/2014 and was last updated on 4/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic Supplier930000150CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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