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
8700 WARNER AVE STE 140, FOUNTAIN VALLEY, CA 92708-3209
(714) 850-7300
Mailing address
PO BOX 45928, BALTIMORE, MD 21297-5928
(714) 850-7300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
07/30/2021
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