| NPI | 1841296340 |
|---|---|
| Doing Business As | RIVERSIDE ORTHOTICS AND PROSTHETICS |
| Entity Type | Organization |
| Authorized Contact | GRACE ANGELINE Provider Contract Analyst Iii 714-961-2102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: VA CPO1886) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 222Z00000X Orthotist (Licence: VA CPO 1886) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2024-03-05 |