INNOVATIVE PROSTHETIC SOLUTIONS INC NPI 1487639647

NPI Information

INNOVATIVE PROSTHETIC SOLUTIONS, INC is a prosthetic orthotic supplier in Lake Forest, 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. INNOVATIVE PROSTHETIC SOLUTIONS, INC NPI is 1487639647. The provider is registered as an organization entity type.

The provider's business location address is:

2 S POINTE DR STE 240
LAKE FOREST, CA
ZIP 92630-281
Phone: (949) 699-0600

The provider's authorized official is Jon Tyra Rikimaru .
The authorized official title is President and has the following contact phone number (949) 699-0600.

The enumeration date for this NPI number is 12/9/2005 and was last updated on 2/28/2018.

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:

Other Identifiers

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