Organization
ESCALATE PROSTHETIC ORTHOTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM MITRA (PRESIDENT)
(310) 480-8760
Entity
Organization
Contact information
Practice address
2982 MCDONALD LN, CORONA, CA 92881-8212
(310) 480-8760
Mailing address
2982 MCDONALD LN, CORONA, CA 92881-8212
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Enumeration date
06/26/2014
Last updated
07/01/2014
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