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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up