| NPI | 1992237168 |
|---|---|
| Doing Business As | SAN DIEGO ORTHOTICS |
| Entity Type | Organization |
| Authorized Contact | ALLEN LAFAYETTE NEWSOME President 760-599-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 47079) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2018-04-26 |