MISSION PROSTHETICS, INC.; NPI #1366484016

Contact Information

MISSION PROSTHETICS, INC.

568 N TUSTIN ST
ORANGE, CA 92867

Phone: 714-633-3222
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetics Case Management	1744P3200X

Indicates primary specialty

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NPI Profile & details for MISSION PROSTHETICS, INC.

NPI # 1366484016

LBN Legal business name MISSION PROSTHETICS, INC.

Authorized official NANCY WANG - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/10/2006

Last updated 09/03/2020 - About 6 years ago

Identifiers

CA	Medicaid	CGP166024
CA	Medicaid	CMS166024
CA	Medicaid	XB0016630

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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