Organization
HANGER PROSTHETICS & ORTHOTICS WEST INC
Active
Parent organization
HANGER INC
Other names
HANGER CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANGER INC
Authorized official
GRACE ANGELINE (REG COMPLIANCE SPECIALIST IV)
(714) 961-2102
Entity
Organization
Contact information
Practice address
623 N MAIN ST, ORANGE, CA 92868-1103
(714) 937-1998
(714) 937-1994
Mailing address
P O BOX 650846, DALLAS, TX 75265-0846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
330266375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006869-0001
PACIFICARE PROVIDER #
CA
01
—
125510802
DEPT OF LABOR PROV. #
CA
01
—
D08605911
NSC
CA
01
—
ZZZ07102Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
06/08/2005
Last updated
02/24/2022
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