# PROSTHETIC & ORTHOTIC MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coachella Valley Orthotics and Prosthetics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366855124
- **Authorized official:** MR. RUSSELL J MOLINA C.P.O. (CEO)
- **Authorized official phone:** (760) 964-3030

## Contact information

- **Practice address:** 75150 SHERYL AVE STE A, PALM DESERT, CA 92211-5118
- **Practice address phone:** (760) 345-4779
- **Practice address fax:** (760) 772-3904
- **Mailing address:** 75150 SHERYL AVE STE A, PALM DESERT, CA 92211-5118
- **Mailing address phone:** (760) 345-4779
- **Mailing address fax:** (760) 772-3904

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 06/09/2014