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Contact Information

CENTRAL ORTHOTIC & PROSTHETIC LLC
2039 N FINE AVE
FRESNO, CA93727-1512
 Phone: 559-251-5557
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Orthotics/Prosthetics Fitter

225000000X
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for CENTRAL ORTHOTIC & PROSTHETIC LLC

NPI Number 1760119168
LBN Legal business name CENTRAL ORTHOTIC & PROSTHETIC LLC
Authorized official RANDY VALLEMBOIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2022
Last updated 04/10/2024 - About 2 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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