Organization
MOLINA PROSTHETICS & ORTHOTICS
Active
Other names
Advanced Kinematics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL JOHN MOLINA C.P.O. (DIRECTOR OF PROSTHETIC & ORTHOTICS)
(760) 964-3030
Entity
Organization
Contact information
Practice address
2222 MARTIN STE 212, IRVINE, CA 92612-1434
(949) 988-7928
(949) 861-9539
Mailing address
2222 MARTIN STE 212, IRVINE, CA 92612-1434
(949) 988-7928
(949) 861-9539
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
12/16/2021
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