NPI | 1659553907 |
---|---|
Doing Business As | POMONA VALLEY ORTHOPEDIC |
Entity Type | Organization |
Authorized Contact | ROBERT LEONARD BUSUTTIL Owner/President 909-629-7615 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2007-11-28 |
Last Update Date | 2007-11-28 |