NPI 1790580363
Amigos Orthotics & Prosthetics INC.
Practice location
- Address
- 5287 Hwy 95 STE I, Fort Mohave, AZ 86426-9220
- Phone
- (626) 622-3359
- Mailing address
- 5287 S Highway 95 STE I, Fort Mohave, AZ 86426-9220
Authorised official
- Name
- Alpha Iscandari Sanusi
- Title
- President
- Phone
- (626) 622-3359
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1790580363
- Entity type
- Organization
- NPI issued
- 17 Feb 2025
- Record last updated
- 18 May 2026
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.