Organization
STELLAR PROSTHETICS & ORTHOTICS
Active
Parent organization
STELLAR PROSTHETICS & ORTHOTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
STELLAR PROSTHETICS & ORTHOTICS
Authorized official
SEAN STELLAR CPO (CEO)
(626) 584-0805
Entity
Organization
Contact information
Practice address
3831 CATALINA ST, SUITE B, LOS ALAMITOS, CA 90720-5405
(626) 584-0805
(626) 584-0806
Mailing address
753 S ARROYO PKWY, SUITE 2, PASADENA, CA 91105-3902
(626) 584-0805
(626) 584-0806
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
97942973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0001829
—
CA
Enumeration date
01/23/2009
Last updated
01/23/2009
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