Ontario Prosthetics
NPI #1124126628 in Moreno Valley, California
Provider Information
- NPI Number
- 1124126628
- Entity Type
- Organization
- Organization Name
- Ontario Prosthetics
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 12981 PERRIS BLVD STE 101
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-4108
- Phone
- (951) 247-4140
Authorized Official
- Name
- MR. BENJAMIN PHILLIPS, CP
- Title
- OWNER
- Phone
- (951) 247-4140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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