Individual
MR. KEVIN E CALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO FAAOP
Contact information
Practice address
3737 MORAGA AVE, STE B 107, SAN DIEGO, CA 92117-5404
(858) 270-9972
(858) 270-6560
Mailing address
3737 MORAGA AVE, STE B 107, SAN DIEGO, CA 92117-5404
(858) 270-9972
(858) 270-6560
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1242
CA
224P00000X
Prosthetist
1242
CA
225000000X
Orthotic Fitter
Primary
1242
CA
225400000X
Rehabilitation Practitioner
1242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0012490
—
CA
Enumeration date
09/05/2006
Last updated
02/18/2010
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