Organization
MEDWEST ORTHOPEDICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT KRULAC CFO (CEO)
(310) 920-9768
Entity
Organization
Contact information
Practice address
811 N CATALINA AVE, SUITE 200, REDONDO BEACH, CA 90277-2133
(310) 798-1914
(310) 376-2748
Mailing address
PO BOX 3531, REDONDO BEACH, CA 90277-1531
(310) 798-1914
(310) 376-2748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
309960
CA
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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