Organization
PROSTHETIC & ORTHOTIC MANAGEMENT INC
Active
Other names
Coachella Valley Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL J MOLINA C.P.O. (CEO)
(760) 964-3030
Entity
Organization
Contact information
Practice address
75150 SHERYL AVE STE A, PALM DESERT, CA 92211-5118
(760) 345-4779
(760) 772-3904
Mailing address
75150 SHERYL AVE STE A, PALM DESERT, CA 92211-5118
(760) 345-4779
(760) 772-3904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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