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Organization

PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC

Active
Parent organization
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES-WEST,LLC
Authorized official
JOANNE LYNN KANAS CPO (DIRECTOR)
(813) 281-7184
Entity
Organization

Contact information

Practice address
909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
(626) 389-9411
Mailing address
PO BOX 947109, ATLANTA, GA 30394-7109
(813) 367-2876
(813) 518-7659

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
930000150
CA

Other

Enumeration date
10/07/2014
Last updated
04/23/2025
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