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Contact Information

MISSION PROSTHETICS, INC.
568 N TUSTIN ST
ORANGE, CA92867
 Phone: 714-633-3222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetics Case Management

1744P3200X
Indicates primary specialty

NPI Profile & details for MISSION PROSTHETICS INC · (Female)

NPI # 1366484016
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2006
Last updated 09/03/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid CGP166024
  • CA Medicaid CMS166024
  • CA Medicaid XB0016630
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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