Gerald D Bowman in Encino - Prosthetic/orthotic Supplier
Gerald D Bowman - NPI 1790963668
Gerald D Bowman is a Prosthetic/orthotic Supplier in Encino, California. Gerald D Bowman practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Gerald D Bowman is 1790963668. The last update date is 2012-02-02.
Gerald D Bowman's current location address is 16430 Ventura Blvd, Encino, California. You can contact this provider via phone number 8186002560 and fax number 8186002561. The mailing address for Gerald D Bowman is 16430 Ventura Blvd, Encino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gerald D Bowman |
|---|---|
| Address | 16430 Ventura Blvd, Encino, California |
| Phone Number | 8186002560 |
| Fax Number | 8186002561 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Bowman D Gerald |
| Credentials | C.O./B.O.C |
| Telephone Number | 8186002560 |
NPI Number Detail
| NPI Number | 1790963668 |
|---|---|
| Provider Enumeration Date | 2008-02-03 |
| Last Updated Date | 2012-02-02 |
Provider Mailing Address Detail
| Address | 16430 Ventura Blvd |
|---|---|
| City | Encino |
| State | California (CA) |
| Post Code | 914362115 |
| Phone Number | 8186002560 |
| Fax Number | 8186002561 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
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Definition: 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 f |
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What is the unique identification code assigned to Gerald D Bowman by the Centers for Medicare & Medicaid Services?
The Gerald D Bowman has been issued the NPI (National Provider Identifier) 1790963668. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gerald D Bowman located?
The Gerald D Bowman is located at 16430 Ventura Blvd, Encino, CA 914362115.
What is Gerald D Bowman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gerald D Bowman is Prosthetic/orthotic Supplier, and the taxonomy code that classifies this field of practice is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790963668 to Gerald D Bowman?
The Gerald D Bowman received its 1790963668 assignment from the Centers for Medicare & Medicaid Services on 2008-02-03.
As of what date were the details related to Gerald D Bowman most recently updated or revised?
The information pertaining to Gerald D Bowman, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-02.