Organization
ESSENTIAL ORTHOTICS AND PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J METICHECCHIA CPO (CEO)
(661) 886-5828
Entity
Organization
Contact information
Practice address
360 GRAND CYPRESS AVE, SUITE 304, PALMDALE, CA 93551-3646
(661) 723-3700
(661) 723-3799
Mailing address
360 GRAND CYPRESS AVENUE, SUITE 304, PALMDALE, CA 93551-1416
(661) 723-3700
(661) 723-3799
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
32836
CA
Other
Enumeration date
04/07/2017
Last updated
06/12/2017
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