Prosthetic & Orthotic Group San Gabriel Valley, Inc
Prosthetic & Orthotic Supplier
5658 Sepulveda Blvd Ste 206, Van Nuys
California, 91411-2951
818-538-5613 626-256-1405
Maps & DirectionsProsthetic & Orthotic Group San Gabriel Valley, Inc is a Prosthetic & Orthotic Supplier in Van Nuys, California. It is situated at 5658 Sepulveda Blvd Ste 206, Van Nuys and its contact number is 818-538-5613. The authorized person of Prosthetic & Orthotic Group San Gabriel Valley, Inc is Glenn Matsushima
who is Cpo/owner of the store and his/her contact number is 626-643-5063.
Prosthetic & Orthotic Group San Gabriel Valley, Inc 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 Profile:
Prosthetic & Orthotic Group San Gabriel Valley, Inc 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.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 5658 Sepulveda Blvd Ste 206, Van Nuys,
California, 91411-2951 |
| Phone: | 818-538-5613 |
| Fax: | 626-256-1405 |
Authorized/Official Person Profile:
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: | Glenn Matsushima |
| Position: | Cpo/owner |
| Contact Number: | 626-643-5063 |
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 Prosthetic & Orthotic Group San Gabriel Valley, Inc center are as mentioned below.
| NPI Number: | 1831713189 |
| NPI Enumeration Date: | 02 Jun, 2020 |
| NPI Last Update On: | 15 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prosthetic & Orthotic Group San Gabriel Valley, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | 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 |
| 1548718612 | 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: | Prosthetic & Orthotic Group San Gabriel Valley, Inc
5658 Sepulveda Blvd Ste 206,
Van Nuys, California |
| Zip: | 91411-2951 |
| Phone Number: | 818-538-5613 |
Patients can reach Prosthetic & Orthotic Group San Gabriel Valley, Inc at
5658 Sepulveda Blvd Ste 206, Van Nuys, California or can
call to book an appointment on 818-538-5613.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.