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Contact Information

JENNINGS ORTHOPEDIC INC
10683 MAGNOLIA AVE
SUITE A
RIVERSIDE, CA92505-1893
 Phone: 951-352-2029
 Fax: 951-352-2549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
Indicates primary specialty

NPI Profile & details for JENNINGS ORTHOPEDIC INC

NPI # 1023188943
LBN Legal business name JENNINGS ORTHOPEDIC INC
Authorized official HENRY JENNINGS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2006
Last updated 12/22/2011 - About 14 years ago
Identifiers
CA License # CPO02544
CA Medicaid GXC000030
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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