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MICHAEL B PHILLIPS NPI 1376709345


NPI Information

NPI: 1376709345
Provider Name: MICHAEL B PHILLIPS

Doing Business As: ONTARIO PROSTHETIC SYSTEMS

Classification: Specialist - 1744P3200X
Entity Type: Organization

Specialization: Prosthetics Case Management

Address:
9253 HERMOSA AVE
SUITE C
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 466-4333
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MICHAEL B PHILLIPS is a prosthetics case management specialist in Rancho Cucamonga, CA. MICHAEL B PHILLIPS NPI is 1376709345. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ontario Prosthetic Systems.

The provider's business location address is:

9253 HERMOSA AVE
SUITE C
RANCHO CUCAMONGA, CA
ZIP 91730-318
Phone: (909) 466-4333
Fax: (909) 466-7040

The provider's authorized official is Michael B Phillips .
The authorized official title is Owner/operator and has the following contact phone number (909) 466-4333.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 4/15/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11744P3200XSpecialistProsthetics Case ManagementN/ACALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15566240001MEDICARE NSCCALIFORNIA

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: 4/28/2024

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