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PRECISION ORTHOTICS & PROSTHETICS INC NPI 1285640979


NPI Information

NPI: 1285640979
Provider Name: PRECISION ORTHOTICS & PROSTHETICS INC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
7143 SEVILLE AVE
HUNTINGTON PARK, CA
ZIP 90255
Phone: (213) 388-5847
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PRECISION ORTHOTICS & PROSTHETICS INC is a prosthetic orthotic supplier in Huntington Park, 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. PRECISION ORTHOTICS & PROSTHETICS INC NPI is 1285640979. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7143 SEVILLE AVE
HUNTINGTON PARK, CA
ZIP 90255-905
Phone: (213) 388-5847
Fax: (213) 388-5848

The provider's authorized official is Kwon Chae Yi .
The authorized official title is Chief Executive Officer and has the following contact phone number (213) 388-5847.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 10/19/2020.


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
1224P00000XProsthetistNo
2335E00000XProsthetic/Orthotic SupplierYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ655562OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
2XB0023570MEDICAIDCALIFORNIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.