Organization
VOGUE PROSTHETIC ORTHOTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN M CRONIN (DIRECTOR)
(626) 445-7797
Entity
Organization
Contact information
Practice address
325 E HILLCREST DR STE 145, THOUSAND OAKS, CA 91360-7721
(805) 496-1660
Mailing address
325 E HILLCREST DR STE 145, THOUSAND OAKS, CA 91360-7721
(805) 496-1660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000550
—
CA
Enumeration date
11/08/2007
Last updated
12/30/2020
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