Core Prosthetics Lab, Inc.
NPI #1720253305 in Sun City, California
Provider Information
- NPI Number
- 1720253305
- Entity Type
- Organization
- Organization Name
- Core Prosthetics Lab, Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Apr 24, 2008
- Last Updated
- Nov 19, 2009
Practice Location
- Address
- 29723 NEW HUB DR STE A
- City
- Sun City
- State
- California
- ZIP Code
- 92586-6537
- Phone
- (951) 246-8888
Authorized Official
- Name
- TUTY IRIANTO, CFM01267
- Title
- MANAGER
- Phone
- (951) 246-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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