Prosthetic & Orthotic Group San Gabriel Valley, INC
NPI #1548718612 in Duarte, California
Provider Information
- NPI Number
- 1548718612
- Entity Type
- Organization
- Organization Name
- Prosthetic & Orthotic Group San Gabriel Valley, INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 16, 2016
- Last Updated
- Sep 15, 2025
Practice Location
- Address
- 931 BUENA VISTA ST STE 105
- City
- Duarte
- State
- California
- ZIP Code
- 91010
- Phone
- (626) 256-1415
Authorized Official
- Name
- GLENN MATSUSHIMA, CPO
- Title
- VP
- Phone
- (626) 256-1415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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