Organization
DYNAMICS ORTHOTICS & PROSTHETICS, INC.
Active
Other names
DYNAMICS O&P
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J SEAN CPO (CERTIFIED PROSTHETIST ORTHOTIST)
(213) 383-9212
Entity
Organization
Contact information
Practice address
16077 KAMANA RD, SUITE 100, APPLE VALLEY, CA 92307-1331
(760) 242-6444
(760) 242-6446
Mailing address
1830 W OLYMPIC BLVD, SUITE 123, LOS ANGELES, CA 90006-3734
(213) 383-9212
(213) 383-6421
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000070
—
CA
Enumeration date
11/12/2012
Last updated
06/01/2016
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