Organization
VITO'S PEDORTHIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN DJABOURIAN C.PED (PEDORTHIST/OWNER)
(626) 858-9460
Entity
Organization
Contact information
Practice address
143 E ROWLAND ST, SUITE 2, COVINA, CA 91723-3065
(626) 858-9460
(626) 858-9767
Mailing address
153 E ROWLAND ST, COVINA, CA 91723-3049
(626) 858-9460
(626) 858-9767
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224L00000X
Pedorthist
Primary
—
—
224P00000X
Prosthetist
—
—
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/22/2017
Last updated
07/24/2024
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.
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