Organization
WEST COAST PROSTHETICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BRADLEY MOHLMAN CP (CEO)
(626) 256-6360
Entity
Organization
Contact information
Practice address
210 KRUSE AVE, MONROVIA, CA 91016-4831
(626) 256-6360
Mailing address
210 KRUSE AVE, MONROVIA, CA 91016-4831
(626) 256-6360
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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