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RUTHIVA LLC NPI 1487945739


NPI Information

NPI: 1487945739
Provider Name: RUTHIVA LLC

Doing Business As: WIG VAN

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
10601 TIERRASANTA BLVD
STE G-188
SAN DIEGO, CA
ZIP 92124
Phone: (619) 241-4616
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RUTHIVA LLC is a prosthetic orthotic supplier in San Diego, 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. RUTHIVA LLC NPI is 1487945739. The provider is registered as an organization entity type.
The provider Is Doing Business As Wig Van.

The provider's business location address is:

10601 TIERRASANTA BLVD
STE G-188
SAN DIEGO, CA
ZIP 92124-616
Phone: (619) 241-4616
Fax: (858) 569-6917

The provider's authorized official is Jack G Slagle .
The authorized official title is Managing Member and has the following contact phone number (619) 241-4616.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 4/20/2011.


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
1335E00000XProsthetic/Orthotic SupplierYes

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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