Organization
JOA CORPORATION
Active
Other names
Johnson's Orthopedic Appliances
Organization subpart
No
Provider details
NPI number
Authorized official
LESLI D. KEARNEY (CFO)
(951) 785-4411
Entity
Organization
Contact information
Practice address
7254 MAGNOLIA AVE, RIVERSIDE, CA 92504-3829
(951) 785-4411
(951) 785-4665
Mailing address
7254 MAGNOLIA AVE, RIVERSIDE, CA 92504-3829
(951) 785-4411
(951) 785-4665
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GFC000010
—
CA
Enumeration date
10/03/2006
Last updated
02/19/2019
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