Organization
EMPIRE PROSTHETIC & ORTHOTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT F HABEGER JR. CPO (CEO, PRESIDENT)
(760) 955-8855
Entity
Organization
Contact information
Practice address
16471 VICTOR ST, VICTORVILLE, CA 92395-3942
(760) 955-8855
(760) 955-7799
Mailing address
16471 VICTOR ST, VICTORVILLE, CA 92395-3942
(760) 955-8855
(760) 955-7799
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO02310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XA0157280
—
CA
Enumeration date
10/18/2006
Last updated
08/22/2020
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