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OTTO BOCK ORTHOPEDIC SERVICES LLC NPI 1871063420


NPI Information

NPI: 1871063420
Provider Name: OTTO BOCK ORTHOPEDIC SERVICES LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1661 N RAYMOND AVE STE 140A
ANAHEIM, CA
ZIP 92801
Phone: (800) 736-8276
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OTTO BOCK ORTHOPEDIC SERVICES LLC is a prosthetic orthotic supplier in Anaheim, 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. OTTO BOCK ORTHOPEDIC SERVICES LLC NPI is 1871063420. The provider is registered as an organization entity type.

The provider's business location address is:

1661 N RAYMOND AVE STE 140A
ANAHEIM, CA
ZIP 92801-167
Phone: (800) 736-8276

The provider's authorized official is Sharon Clark .
The authorized official title is National Contract Mgr. and has the following contact phone number (512) 806-2879.

The enumeration date for this NPI number is 11/27/2018 and was last updated on 8/17/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3335E00000XProsthetic/Orthotic SupplierYes

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
1101351003OTHERCALIFORNIASELLER PERMIT
2104746OTHERCALIFORNIAHME LICENSE

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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