Organization
DJO, LLC
Active
Parent organization
DJO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DJO, LLC
Authorized official
MR. ANDRES MORENO III (PRESIDENT)
(800) 321-9549
Entity
Organization
Contact information
Practice address
3151 SCOTT ST, VISTA, CA 92081-8365
(760) 477-0404
Mailing address
2900 LAKE VISTA DR STE 200, LEWISVILLE, TX 75067-3889
(704) 749-6291
(704) 831-8300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
06/05/2024
Last updated
12/05/2025
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