Organization
DJO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRES MORENO III (PRESIDENT)
(800) 321-9549
Entity
Organization
Contact information
Practice address
5919 SEA OTTER PL STE 200, CARLSBAD, CA 92010-6750
(972) 956-4323
Mailing address
2900 LAKE VISTA DR STE 200, LEWISVILLE, TX 75067-3889
(866) 356-7846
(844) 277-2075
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165650741
—
AR
Enumeration date
12/20/2005
Last updated
12/05/2025
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