Organization
ALPHA ORTHOPEDIC APPLIANCE CO A CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STEVEN YAMAKA CP (PRESIDENT/CERTIFIED PROSTHETIST)
(323) 721-6706
Entity
Organization
Contact information
Practice address
5940 E WASHINGTON BLVD, COMMERCE, CA 90040-2413
(323) 721-6706
(323) 721-6746
Mailing address
5940 E WASHINGTON BLVD, COMMERCE, CA 90040-2413
(323) 721-6706
(323) 721-6746
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GFB000030
—
CA
Enumeration date
07/17/2006
Last updated
05/26/2015
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