Organization
ORTHOWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE ALAN JOHNSON (AUTHORIZED OFFICIAL)
(949) 586-3200
Entity
Organization
Contact information
Practice address
18785 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-7300
(714) 500-5056
(949) 900-2116
Mailing address
PO BOX 45928, BALTIMORE, MD 21297-5928
(714) 500-5056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
About Stedi
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