VALLEY ORTHOPEDIC TECHNOLOGY, INC; NPI #1255863726

Contact Information

VALLEY ORTHOPEDIC TECHNOLOGY, INC

15243 VANOWEN STREET #208
SUITE 208
VAN NUYS, CA 91405

Phone: 818-600-2560
Fax: 818-600-2561
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist
Orthotist	222Z00000X	55	Individual Certified Orthotist
Prosthetist	224P00000X	56	Individual Certified Prosthetist

Indicates primary specialty

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NPI Profile & details for VALLEY ORTHOPEDIC TECHNOLOGY, INC

NPI # 1255863726

LBN Legal business name VALLEY ORTHOPEDIC TECHNOLOGY, INC

Authorized official GERALD BOWMAN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/03/2017

Last updated 03/31/2020 - About 6 years ago

Identifiers

Medicaid

1255863726

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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