MISSION PROSTHETICS INC. NPI 1366484016

NPI Information

NPI: 1366484016
Provider Name: MISSION PROSTHETICS, INC.
Classification: Specialist - 1744P3200X
Entity Type: Organization

Specialization: Prosthetics Case Management

Address:
568 N TUSTIN ST
ORANGE, CA
ZIP 92867
Phone: (714) 633-3222
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MISSION PROSTHETICS, INC. is a prosthetics case management specialist in Orange, CA. MISSION PROSTHETICS, INC. NPI is 1366484016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

568 N TUSTIN ST
ORANGE, CA
ZIP 92867
Phone: (714) 633-3222

The provider's authorized official is Nancy Wang .
The authorized official title is Manager and has the following contact phone number (714) 633-3222.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 9/3/2020.

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
1	1744P3200X	Specialist	Prosthetics Case Management		CALIFORNIA	Yes

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
1	XB0016630	MEDICAID	CALIFORNIA
2	CGP166024	MEDICAID	CALIFORNIA
3	CMS166024	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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