Organization
JENNINGS ORTHOPEDIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY ALVIN JENNINGS JR. CPO (PRESIDENT)
(951) 352-2029
Entity
Organization
Contact information
Practice address
10683 MAGNOLIA AVE, SUITE A, RIVERSIDE, CA 92505-1893
(951) 352-2029
(951) 352-2549
Mailing address
10683 MAGNOLIA AVE, SUITE A, RIVERSIDE, CA 92505-1893
(951) 352-2029
(951) 352-2549
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO02544
CA
224P00000X
Prosthetist
Primary
CPO02544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000030
—
CA
Enumeration date
11/08/2006
Last updated
12/22/2011
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