Organization
WEST COAST ORTHOTIC LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARK METHA (PRESIDENT)
(909) 946-5562
Entity
Organization
Contact information
Practice address
163 ENTERPRISE WAY, UPLAND, CA 91786-1509
(909) 946-5562
Mailing address
163 ENTERPRISE WAY, UPLAND, CA 91786-1509
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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