Pacific Orthotics & Prosthetics

LBN: Sandra L Vitale
Pacific Orthotics & Prosthetics is an health care organization with primary practice located at 1005 W Orangeburg Ave Suite A, Modesto CA 95350-4163. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Sandra L Vitale can be contacted via phone (209) 575-1063, or through Vitale, Sandy L via phone (209) 575-1063.

Contact Information

Primary practice address
1005 W Orangeburg Ave Suite A Modesto CA 95350-4163
Phone: (209) 575-1063
Fax: (209) 575-1065
Website:
Map and Directions
Authorized official contact:
Name: Vitale, Sandy L
Phone: (209) 575-1063

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1053414052
LBN Legal business name Sandra L Vitale
DBA Doing business as Pacific Orthotics & Prosthetics
Authorized official Vitale, Sandy L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Jun 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053414052 NPPES
California MEDICAID GXC000360

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