Temecula Valley Orthoitcs & Prosthetics, Inc. in Wildomar - Prosthetic/orthotic Supplier
Temecula Valley Orthoitcs & Prosthetics, Inc. - NPI 1649204801
Temecula Valley Orthoitcs & Prosthetics, Inc. is a Prosthetic/orthotic Supplier in Wildomar, California. Temecula Valley Orthoitcs & Prosthetics, Inc. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Temecula Valley Orthoitcs & Prosthetics, Inc. is 1649204801. The last update date is 2020-08-22.
Temecula Valley Orthoitcs & Prosthetics, Inc.'s current location address is 36243 Inland Valley Dr Ste 30, Wildomar, California. You can contact this provider via phone number 9516964447 and fax number 9516964448. The mailing address for Temecula Valley Orthoitcs & Prosthetics, Inc. is 36243 Inland Valley Dr Ste 30, Wildomar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Temecula Valley Orthoitcs & Prosthetics, Inc. |
|---|---|
| Address | 36243 Inland Valley Dr Ste 30, Wildomar, California |
| Phone Number | 9516964447 |
| Fax Number | 9516964448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Matheny J Shawn |
| Credentials | CO |
| Telephone Number | 9516964447 |
NPI Number Detail
| NPI Number | 1649204801 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 36243 Inland Valley Dr Ste 30 |
|---|---|
| City | Wildomar |
| State | California (CA) |
| Post Code | 925959547 |
| Phone Number | 9516964447 |
| Fax Number | 9516964448 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | CPO19140 |
|
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 |
|---|---|---|---|
| ZZZ03626Z | CA | BLUE SHIELD PROVIDER NUMB | |
| 4898339 | CA | BLUE CROSS PROVIDER NUMBE | |
| 5573 | CA | HEALTH NET PROVIDER NUMBE | |
| XC0019140 | CA | -- | |
| CMS170123 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Temecula Valley Orthoitcs & Prosthetics, Inc. by the Centers for Medicare & Medicaid Services?
The Temecula Valley Orthoitcs & Prosthetics, Inc. has been issued the NPI (National Provider Identifier) 1649204801. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Temecula Valley Orthoitcs & Prosthetics, Inc. is geographically located?
The Temecula Valley Orthoitcs & Prosthetics, Inc. is physically situated at the following location: 36243 Inland Valley Dr Ste 30, Wildomar, CA, 925959547.
What is the Temecula Valley Orthoitcs & Prosthetics, Inc.'s specialty and taxonomy code?
The Temecula Valley Orthoitcs & Prosthetics, Inc.'s specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649204801 to Temecula Valley Orthoitcs & Prosthetics, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1649204801 to Temecula Valley Orthoitcs & Prosthetics, Inc. on 2006-07-11.
As of what date was the information regarding Temecula Valley Orthoitcs & Prosthetics, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Temecula Valley Orthoitcs & Prosthetics, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY