Organization
SPECTRUM PROSTHETICS & ORTHOTICS OF REDDING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(530) 243-4500
Entity
Organization
Contact information
Practice address
1844 SOUTH ST, REDDING, CA 96001-1809
(530) 243-4500
(530) 243-4554
Mailing address
1844 SOUTH ST, REDDING, CA 96001-1809
(530) 243-4500
(530) 243-4554
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GFC000180
—
CA
01
—
ZZZ65105Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
06/08/2005
Last updated
05/13/2026
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