Saint Crispin'S Orthopedic in Norwalk - Prosthetic/orthotic Supplier
Saint Crispin'S Orthopedic - NPI 1114971520
Saint Crispin'S Orthopedic is a Prosthetic/orthotic Supplier in Norwalk, California. Saint Crispin'S Orthopedic practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Saint Crispin'S Orthopedic is 1114971520. The last update date is 2020-08-22.
Saint Crispin'S Orthopedic's current location address is 12830 Rosecrans Ave, Norwalk, California. You can contact this provider via phone number 5628022477 and fax number 5624041678. The mailing address for Saint Crispin'S Orthopedic is 12830 Rosecrans Ave, Norwalk, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Saint Crispin'S Orthopedic |
|---|---|
| Address | 12830 Rosecrans Ave, Norwalk, California |
| Phone Number | 5628022477 |
| Fax Number | 5624041678 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pavelski C Michael |
| Credentials | CPO |
| Telephone Number | 5628022477 |
NPI Number Detail
| NPI Number | 1114971520 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12830 Rosecrans Ave |
|---|---|
| City | Norwalk |
| State | California (CA) |
| Post Code | 906504416 |
| Phone Number | 5628022477 |
| Fax Number | 5624041678 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CMS200045 | CA | CCS IDENTIFICATION NUMBER | |
| XC0019900 | CA | -- | |
| ZZZ85855Z | CA | BLUE SHIELD IDENT. NO. |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Saint Crispin'S Orthopedic by the Centers for Medicare & Medicaid Services?
The Saint Crispin'S Orthopedic has been assigned the NPI (National Provider Identifier) 1114971520 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Saint Crispin'S Orthopedic's facilities are geographically located?
The facilities of Saint Crispin'S Orthopedic are physically situated at the following location: 12830 Rosecrans Ave, Norwalk, CA, 906504416.
What is the Saint Crispin'S Orthopedic's specialty and taxonomy code?
The Saint Crispin'S Orthopedic's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Saint Crispin'S Orthopedic receive its 1114971520 assignment from the Centers for Medicare & Medicaid Services?
The Saint Crispin'S Orthopedic was assigned its 1114971520 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information pertaining to Saint Crispin'S Orthopedic most recently updated or revised?
The details related to Saint Crispin'S Orthopedic, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.