Organization
RESEDA PROSTHETICS, INC.
Active
Other names
Empowered Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
ARACELI JAMISON (PRACTICE MANAGER)
(818) 993-5441
Entity
Organization
Contact information
Practice address
2220 LYNN RD STE 306, THOUSAND OAKS, CA 91360-8000
(805) 719-3950
(805) 719-3954
Mailing address
2220 LYNN RD STE 306, THOUSAND OAKS, CA 91360-8000
(805) 719-3950
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
04/11/2025
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