Organization
SD ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE TAYLOR (PRESIDENT)
(858) 356-9960
Entity
Organization
Contact information
Practice address
148 E 30TH ST, NATIONAL CITY, CA 91950-7300
(888) 543-4039
Mailing address
2020 CAMINO DEL RIO N, SAN DIEGO, CA 92108-1541
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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