Organization
ORTHOWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE ALAN JOHNSON (AUTHORIZED OFFICIAL)
(949) 586-3200
Entity
Organization
Contact information
Practice address
710 N EUCLID ST STE 201, ANAHEIM, CA 92801-4122
(714) 241-7000
(714) 241-7003
Mailing address
PO BOX 45928, BALTIMORE, MD 21297-5928
(714) 241-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
03/20/2021
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