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Organization

CHANNEL ISLANDS PROSTHETICS,INC

Active
Other names
Channel Islands Prosthetics-Orthotics
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN STEPHEN MCATEE C.P. (PRESIDENT)
(805) 658-1822
Entity
Organization

Contact information

Practice address
520 W 5TH ST, STE A, OXNARD, CA 93030-7025
(805) 486-5531
(805) 658-1824
Mailing address
520 W 5TH ST, STE A, OXNARD, CA 93030-7025
(805) 486-5531
(805) 658-1824

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
XB0013520
CA
Enumeration date
11/08/2006
Last updated
08/30/2007
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