Organization
PROSTHETIC & ORTHOTIC GROUP SAN GABRIEL VALLEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(626) 256-1415
Entity
Organization
Contact information
Practice address
931 BUENA VISTA ST STE 105, DUARTE, CA 91010
(626) 256-1415
(626) 256-1405
Mailing address
931 BUENA VISTA ST STE 105, DUARTE, CA 91010-1780
(626) 256-1415
(626) 256-1405
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
05/14/2026
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