# ORTHOPAEDIC MEDICAL SUPPLIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235235391
- **Authorized official:** MR. KEVIN RICHARD DEBENCE OTC (CEO/OFFICER)
- **Authorized official phone:** (951) 549-9696

## Contact information

- **Practice address:** 770 MAGNOLIA AVE, SUITE 1H, CORONA, CA 92879-3120
- **Practice address phone:** (951) 549-9696
- **Practice address fax:** (951) 808-9952
- **Mailing address:** 770 MAGNOLIA AVE, SUITE 1H, CORONA, CA 92879-3120
- **Mailing address phone:** (951) 549-9696
- **Mailing address fax:** (951) 808-9952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 44124 | CA | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 02/14/2008