NPI 1124126628

Ontario Prosthetics

Organisation Prosthetic/Orthotic Supplier Moreno Valley, CA

Practice location

Address: 12981 Perris Blvd STE 101, Moreno Valley, CA 92553-4108
Phone: (951) 247-4140
Fax: (951) 247-4563

Authorised official

Name: Benjamin Phillips
Title: Owner
Phone: (951) 247-4140

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence P 1115 (CA)

Other Prosthetic/Orthotic Supplier providers in California →

Registry record

NPI: 1124126628
Entity type: Organization
NPI issued: 20 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.