Organization
ESSENTIAL ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J. METICHECCHIA (PRESIDENT)
(661) 886-5828
Entity
Organization
Contact information
Practice address
41758 12TH ST W STE A, PALMDALE, CA 93551-1421
(661) 723-3700
(661) 723-3799
Mailing address
360 GRAND CYPRESS AVE, UNIT 304, PALMDALE, CA 93551-1422
(661) 723-3700
(661) 723-3799
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C46460
CA
Other
Enumeration date
05/18/2010
Last updated
07/21/2022
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