Organization
ALTHEA'S, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH GATES CERTIFIED ORTHOTIST (PRESIDENT)
(805) 643-3537
Entity
Organization
Contact information
Practice address
2320 E MAIN ST, VENTURA, CA 93003-2602
(805) 643-3537
(805) 643-3568
Mailing address
2320 E MAIN ST, VENTURA, CA 93003-2602
(805) 643-3537
(805) 643-3568
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C13521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XA1352100
—
CA
01
—
ZZZ01909Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/06/2007
Last updated
11/06/2007
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