Organization
VALLEY OAKS ORTHOPEDICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRI PETER YAGDJIS CPO02371 (CHIEF EXECUTIVE OFFICER)
(818) 789-8583
Entity
Organization
Contact information
Practice address
16122 COVELLO ST, VAN NUYS, CA 91406-2910
(818) 789-8593
(818) 789-5863
Mailing address
16122 COVELLO ST, VAN NUYS, CA 91406-2910
(818) 789-8593
(818) 789-5863
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
97-597753
CA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/30/2006
Last updated
08/22/2020
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