ONTARIO PROSTHETICS NPI 1124126628

NPI Information

  • NPI: 1124126628
  • Provider Name: ONTARIO PROSTHETICS
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 12981 PERRIS BLVD STE 101
    MORENO VALLEY, CA
    ZIP 92553
  • Phone: (951) 247-4140

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NPI Details

ONTARIO PROSTHETICS is a prosthetic orthotic supplier in Moreno Valley, 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. ONTARIO PROSTHETICS NPI is 1124126628. The provider is registered as an organization entity type.

The provider's business location address is:

12981 PERRIS BLVD STE 101
MORENO VALLEY, CA
ZIP 92553-108
Phone: (951) 247-4140
Fax: (951) 247-4563

The provider's authorized official is Benjamin Phillips .
The authorized official title is Owner and has the following contact phone number (951) 247-4140.

The enumeration date for this NPI number is 9/20/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierP 1115CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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