NPI | 1699772046 |
---|---|
Doing Business As | ADVANCED LIMB & BRACE |
Entity Type | Organization |
Authorized Contact | GRACE ANGELINE Provider Contract Analyst Iii 714-961-2102 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 588) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
335E00000X Prosthetic/Orthotic Supplier (Licence: TX 215) | |
335E00000X Prosthetic/Orthotic Supplier (Licence: TX 404) | |
335E00000X Prosthetic/Orthotic Supplier (Licence: TX 591) | |
335E00000X Prosthetic/Orthotic Supplier (Licence: TX 101169) | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2005-06-30 |
Last Update Date | 2024-08-01 |