Organization
J&K ORTHOPEDICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE RAY CLAWSON CPO (PRESIDENT)
(909) 621-1180
Entity
Organization
Contact information
Practice address
5405 ARROW HWY STE 100, MONTCLAIR, CA 91763-1664
(909) 621-1180
(909) 625-7535
Mailing address
5405 ARROW HWY STE 100, MONTCLAIR, CA 91763-1664
(909) 621-1180
(909) 625-7535
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
CA
224P00000X
Prosthetist
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000770
—
CA
Enumeration date
04/20/2006
Last updated
07/19/2024
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