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
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