Organization
ANDERS ORTHOPEDIC PROSTHETIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY DIETER ANDERS (OWNER)
(323) 461-4279
Entity
Organization
Contact information
Practice address
1825 N WESTERN AVE, LOS ANGELES, CA 90027-3403
(323) 461-4279
(323) 461-4279
Mailing address
1825 N WESTERN AVE, LOS ANGELES, CA 90027-3403
(323) 461-4279
(323) 461-4279
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XA0009990
—
CA
Enumeration date
01/08/2007
Last updated
02/11/2008
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