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PERFORMANCE PROSTHETIC ORTHOTIC CENTER NPI 1265440234


NPI Information

NPI: 1265440234
Provider Name: PERFORMANCE PROSTHETIC ORTHOTIC CENTER

Doing Business As: PERFORMANCE PROSTHETICS AND ORTHOTICS SPECIALISTS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2820 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-2322
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PERFORMANCE PROSTHETIC ORTHOTIC CENTER is a durable medical equipment medical supplies in Santa Monica, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PERFORMANCE PROSTHETIC ORTHOTIC CENTER NPI is 1265440234. The provider is registered as an organization entity type.
The provider Is Doing Business As Performance Prosthetics And Orthotics Specialists.

The provider's business location address is:

2820 SANTA MONICA BLVD
SANTA MONICA, CA
ZIP 90404-410
Phone: (310) 829-2322
Fax: (310) 315-3634

The provider's authorized official is Albert Floyd Rappoport .
The authorized official title is President and has the following contact phone number (310) 829-2322.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/22/2020.


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
1332B00000XDurable Medical Equipment & Medical Supplies43027CALIFORNIAYes
2335E00000XProsthetic/Orthotic SupplierX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GXC000450MEDICAIDCALIFORNIA

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: 4/28/2024

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