# RESTORE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restore Athletics, Restore Orthotics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275056160
- **Authorized official:** FERNANDO ROMERO (PRESIDENT)
- **Authorized official phone:** (888) 305-1900

## Contact information

- **Practice address:** 130 N MACLAY AVE, SAN FERNANDO, CA 91340-2907
- **Practice address phone:** (888) 305-1900
- **Mailing address:** 130 N MACLAY AVE, SAN FERNANDO, CA 91340-2907
- **Mailing address phone:** (888) 305-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 79104 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2017
- **Last updated:** 07/21/2022