Organization
KEVIN E CALVO
Active
Other names
BIONICS ORTHOTICS & PROSTHETICS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN EDWARD CALVO CPO, FAAOP (PRACTITIONER/OWNER)
(858) 270-9972
Entity
Organization
Contact information
Practice address
3737 MORAGA AVE, STE B107, SAN DIEGO, CA 92117-5300
(858) 270-9972
(858) 270-6560
Mailing address
3737 MORAGA AVE, STE B107, SAN DIEGO, CA 92117-5300
(858) 270-9972
(858) 270-6560
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0012490
—
CA
Enumeration date
12/13/2007
Last updated
09/24/2009
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