Organization
ACTION ORTHOPEDIC COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAROLA LUCY GOMES (VICE PRESIDENT)
(213) 482-5226
Entity
Organization
Contact information
Practice address
1515 WILSHIRE BLVD UNIT 3, LOS ANGELES, CA 90017-2216
(213) 482-5226
(213) 482-5040
Mailing address
265 S WESTERN AVE UNIT 74368, LOS ANGELES, CA 90004-4172
(213) 482-5226
(213) 482-5040
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XB0012281
—
CA
Enumeration date
07/10/2006
Last updated
11/05/2025
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