San Joaquin Orthotics & Prosthetics is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Stockton, California. It is situated at 2211 N California St, Stockton and its contact number is 209-932-0170. The authorized person of San Joaquin Orthotics & Prosthetics is Mr. Matthew Shane Evans
who is Business Owner/manager of the store and his/her contact number is 209-932-0170. Primary license number for San Joaquin Orthotics & Prosthetics is 07-00072230 in California. San Joaquin Orthotics & Prosthetics 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:
San Joaquin Orthotics & Prosthetics 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.
2211 N California St, Stockton, California, 95204-5503
Phone:
209-932-0170
Fax:
209-932-0172
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:
Mr. Matthew Shane Evans
Position:
Business Owner/manager
Contact Number:
209-932-0170
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 San Joaquin Orthotics & Prosthetics center are as mentioned below.
NPI Number:
1649290107
NPI Enumeration Date:
20 Jul, 2006
NPI Last Update On:
15 Sep, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for San Joaquin Orthotics & Prosthetics are as mentioned below.
Specialization
License Number
State
Status
07-00072230
California
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
ZZZ07247Z
Other
California
Blue Shield
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
San Joaquin Orthotics & Prosthetics 2211 N California St, Stockton, California
Zip:
95204-5503
Phone Number:
209-932-0170
Fax Number:
209-932-0172
Patients can reach San Joaquin Orthotics & Prosthetics at 2211 N California St, Stockton, California or can call to book an appointment on 209-932-0170. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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