Organization
RESTORE
Active
Other names
Restore Athletics, Restore Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO ROMERO (PRESIDENT)
(888) 305-1900
Entity
Organization
Contact information
Practice address
130 N MACLAY AVE, SAN FERNANDO, CA 91340-2907
(888) 305-1900
Mailing address
130 N MACLAY AVE, SAN FERNANDO, CA 91340-2907
(888) 305-1900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
79104
CA
Other
Enumeration date
07/21/2017
Last updated
07/21/2022
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