Organization
AESTHETIC PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEFAN JOHANNES KNAUSS MAMS, CPO (PRESIDENT)
(626) 345-0050
Entity
Organization
Contact information
Practice address
1095 N ALLEN AVE, PASADENA, CA 91104-3204
(626) 345-0050
(626) 345-0052
Mailing address
1095 N ALLEN AVE, PASADENA, CA 91104-3204
(626) 345-0050
(626) 345-0052
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO01364
VA
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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