Organization
VOGUE PROSTHETIC ORTHOTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN M CRONIN (DIRECTOR)
(626) 445-7797
Entity
Organization
Contact information
Practice address
18250 ROSCOE BLVD STE 250, NORTHRIDGE, CA 91325-4275
(818) 349-2230
(818) 349-2267
Mailing address
18250 ROSCOE BLVD STE 250, NORTHRIDGE, CA 91325-4275
(818) 349-2230
(818) 349-2267
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
97882728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000550
—
CA
Enumeration date
04/05/2006
Last updated
12/30/2020
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