ORTHO SHOCK WAVE THERAPY INC. NPI 1356430482

NPI Information

  • NPI: 1356430482
  • Provider Name: ORTHO SHOCK WAVE THERAPY, INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3636 HARBOR BLVD
    H2
    COSTA MESA, CA
    ZIP 92626
  • Phone: (714) 966-9335

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NPI Details

ORTHO SHOCK WAVE THERAPY, INC. is a specialist in Costa Mesa, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ORTHO SHOCK WAVE THERAPY, INC. NPI is 1356430482. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3636 HARBOR BLVD
H2
COSTA MESA, CA
ZIP 92626
Phone: (714) 966-9335
Fax: (714) 966-9706

The provider's authorized official is Dale Willetts .
The authorized official title is Chief Executive Officer and has the following contact phone number (714) 966-9335.

The enumeration date for this NPI number is 10/12/2006 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
1174400000XSpecialistYes

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: 3/30/2025

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