Organization
PIONEER ORTHOTICS AND PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYA AMIRSHAHROKHI (CEO)
(949) 945-9606
Entity
Organization
Contact information
Practice address
665 CAMINO DE LOS MARES STE 203A, SAN CLEMENTE, CA 92673-2836
(949) 945-9606
(949) 945-9604
Mailing address
PO BOX 546, LAKE FOREST, CA 92609-0546
(949) 945-9606
(949) 945-9604
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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