VITOS PEDORTHIC CENTER INC NPI 1205583606

NPI Information

NPI: 1205583606
Provider Name: VITOS PEDORTHIC CENTER INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address: 153 E ROWLAND ST
COVINA, CA
ZIP 91723
Phone: (626) 858-9460

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NPI Details

VITOS PEDORTHIC CENTER INC is a prosthetic orthotic supplier in Covina, 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. VITOS PEDORTHIC CENTER INC NPI is 1205583606. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

153 E ROWLAND ST
COVINA, CA
ZIP 91723-049
Phone: (626) 858-9460

The provider's authorized official is Jack Djabourian .
The authorized official title is Owner and has the following contact phone number (626) 858-9460.

The enumeration date for this NPI number is 3/4/2022 and was last updated on 11/14/2025.

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	Primary
1	225000000X	Orthotic Fitter	No
2	224900000X	Mastectomy Fitter	No
3	222Z00000X	Orthotist	No
4	224P00000X	Prosthetist	No
5	332B00000X	Durable Medical Equipment & Medical Supplies	No
6	224L00000X	Pedorthist	No
7	335E00000X	Prosthetic/Orthotic Supplier	Yes

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: 11/21/2025

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