San Joaquin Orthotics & Prosthetics in Stockton - Prosthetic/orthotic Supplier
San Joaquin Orthotics & Prosthetics - NPI 1649290107
San Joaquin Orthotics & Prosthetics is a Prosthetic/orthotic Supplier in Stockton, California. San Joaquin Orthotics & Prosthetics practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for San Joaquin Orthotics & Prosthetics is 1649290107. The last update date is 2015-09-15.
San Joaquin Orthotics & Prosthetics's current location address is 2211 N California St, Stockton, California. You can contact this provider via phone number 2099320170 and fax number 2099320172. The mailing address for San Joaquin Orthotics & Prosthetics is 2211 N California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Joaquin Orthotics & Prosthetics |
|---|---|
| Address | 2211 N California St, Stockton, California |
| Phone Number | 2099320170 |
| Fax Number | 2099320172 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Evans Shane Matthew |
| Credentials | CPO |
| Telephone Number | 2099320170 |
NPI Number Detail
| NPI Number | 1649290107 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2015-09-15 |
Provider Mailing Address Detail
| Address | 2211 N California St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952045503 |
| Phone Number | 2099320170 |
| Fax Number | 2099320172 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 07-00072230 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ07247Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to San Joaquin Orthotics & Prosthetics by the Centers for Medicare & Medicaid Services?
The San Joaquin Orthotics & Prosthetics has been issued the NPI (National Provider Identifier) 1649290107 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the San Joaquin Orthotics & Prosthetics located?
The San Joaquin Orthotics & Prosthetics is located at 2211 N California St, Stockton, CA 952045503.
What is the area of specialization for San Joaquin Orthotics & Prosthetics, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for San Joaquin Orthotics & Prosthetics is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 335E00000X.
On what date was the 1649290107 assigned to San Joaquin Orthotics & Prosthetics?
The San Joaquin Orthotics & Prosthetics was issued its 1649290107 on 2006-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the San Joaquin Orthotics & Prosthetics's details last updated?
The information pertaining to the San Joaquin Orthotics & Prosthetics, including its address, specialty, and other details, was most recently updated on 2015-09-15.
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