Organization
ACHILLES PROSTHETICS AND ORTHOTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J NEWTON B.S., F.A.C., C.P. (PRESIDENT)
(661) 323-5944
Entity
Organization
Contact information
Practice address
842 CALIFORNIA BLVD, SAN LUIS OBISPO, CA 93401-2902
(805) 541-3800
(805) 541-3818
Mailing address
842 CALIFORNIA BLVD, SAN LUIS OBISPO, CA 93401-2902
(805) 541-3800
(805) 541-3818
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104063502
CALIFORNIA CHILDREN SERVICES
CA
01
—
1104063502
BLUE CROSS OF MICHIGAN
MI
01
—
1104063502
BLUE SHIELD OF TEXAS
TX
05
—
1104063502
—
CA
01
—
199156400
U.S. DEPARTMENT OF LABOR
CA
01
—
ZZZ57280Y
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
01/07/2009
Last updated
04/16/2015
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