Organization
REDLANDS PROSTHETIC & ORTHOTIC GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MARIE RASHIDI CPO (CFO, CO-OWNER)
(909) 798-5853
Entity
Organization
Contact information
Practice address
1849 W REDLANDS BLVD STE 103, REDLANDS, CA 92373-3127
(909) 798-5853
(909) 798-0602
Mailing address
1849 W REDLANDS BLVD STE 103, REDLANDS, CA 92373-3127
(909) 798-5853
(909) 798-0602
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0013090
—
CA
01
—
ZZZ25483Z
BLUE SHIELD OF CA
CA
Enumeration date
01/16/2006
Last updated
01/07/2025
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