Organization
ORTHOPROS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL L BERNKNOPF C.O. (VICE PRESIDENT)
(310) 828-7485
Entity
Organization
Contact information
Practice address
2021 SANTA MONICA BLVD, STE 104E, SANTA MONICA, CA 90404-2208
(310) 828-7485
(310) 828-7067
Mailing address
2021 SANTA MONICA BLVD, STE 104E, SANTA MONICA, CA 90404-2208
(310) 828-7485
(310) 828-7067
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000350
—
CA
Enumeration date
06/01/2005
Last updated
07/06/2011
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