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Organization
SOCAL SCOLIOSIS CARE
Active
Organization
SOCAL SCOLIOSIS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY DIAZ CO (CERTIFIED ORTHOTIST)
(818) 428-5218
Entity
Organization
Contact information
Practice address
16430 VENTURA BLVD STE 108, ENCINO, CA 91436-2135
(818) 428-5218
Mailing address
9557 HARVEST VISTA DR, RANCHO CUCAMONGA, CA 91730-5732
(650) 714-3877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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