Sole Proprietor is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in San Diego, California. It is situated at 4224 Ohio St, San Diego and its contact number is 619-280-9174. The authorized person of Sole Proprietor is Carlos Valenzuela
who is Certified Orthotist Owner of the store and his/her contact number is 619-280-9174. Sole Proprietor is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Sole Proprietor Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Carlos Valenzuela
Position:
Certified Orthotist Owner
Contact Number:
619-280-9174
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Sole Proprietor center are as mentioned below.
NPI Number:
1508876442
NPI Enumeration Date:
09 Aug, 2006
NPI Last Update On:
09 Sep, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sole Proprietor are as mentioned below.
Specialization
License Number
State
Status
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
GC000680
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Sole Proprietor 4224 Ohio St, San Diego, California
Zip:
92104-1320
Phone Number:
619-280-9174
Fax Number:
619-280-9286
Patients can reach Sole Proprietor at 4224 Ohio St, San Diego, California or can call to book an appointment on 619-280-9174. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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