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VITO'S PEDORTHIC CENTER NPI 1508397514


NPI Information

NPI: 1508397514
Provider Name: VITO'S PEDORTHIC CENTER
Classification: Pedorthist - 224L00000X
Entity Type: Organization
Address:
143 E ROWLAND ST
SUITE 2
COVINA, CA
ZIP 91723
Phone: (626) 858-9460
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VITO'S PEDORTHIC CENTER is a pedorthist in Covina, CA. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. VITO'S PEDORTHIC CENTER NPI is 1508397514. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

143 E ROWLAND ST
SUITE 2
COVINA, CA
ZIP 91723-065
Phone: (626) 858-9460
Fax: (626) 858-9767

The provider's authorized official is Ben Djabourian .
The authorized official title is Pedorthist/owner and has the following contact phone number (626) 858-9460.

The enumeration date for this NPI number is 3/22/2017 and was last updated on 3/22/2017.


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
1222Z00000XOrthotistNo
2224P00000XProsthetistNo
3225000000XOrthotic FitterNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5224L00000XPedorthistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.