Organization
UNIVERSAL ORTHOPEDIC CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHARLES PAVELSKI CPO (CEO)
(562) 698-9965
Entity
Organization
Contact information
Practice address
12830 ROSECRANS AVE, NORWALK, CA 90650-4416
(562) 698-9965
(562) 404-1678
Mailing address
12830 ROSECRANS AVE, NORWALK, CA 90650-4416
(562) 698-9965
(562) 404-1678
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXA000030
—
CA
Enumeration date
08/10/2006
Last updated
08/22/2020
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