# PROSTHETIC & ORTHOTIC MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COACHELLA VALLEY ORTHOTICS & PROSTHETICS
- **Other names:** Prosthetic & Orthotics Management Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932890837
- **Legal business name:** COACHELLA VALLEY ORTHOTICS & PROSTHETICS
- **Authorized official:** MR. RUSSELL JOHN MOLINA CPO (OWNER)
- **Authorized official phone:** (760) 345-4779

## Contact information

- **Practice address:** 1080 N INDIAN CANYON DR STE 203, PALM SPRINGS, CA 92262-4871
- **Practice address phone:** (760) 345-4779
- **Practice address fax:** (760) 772-3904
- **Mailing address:** 1080 N INDIAN CANYON DR STE 203, PALM SPRINGS, CA 92262-4871
- **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:** 05/19/2023
- **Last updated:** 05/19/2023