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Contact Information

ORTHO SHOCK WAVE THERAPY, INC.
3636 HARBOR BLVD
H2
COSTA MESA, CA92626
 Phone: 714-966-9335
 Fax: 714-966-9706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ORTHO SHOCK WAVE THERAPY, INC.

NPI Number 1356430482
LBN Legal business name ORTHO SHOCK WAVE THERAPY, INC.
Authorized official DALE WILLETTS - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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