| NPI | 1023665502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHIL SHAH Owner 661-717-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |