Organization
BLUEBIRD ORTHOTICS AND PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN MAYA (OFFICE MANAGER)
(858) 874-6750
Entity
Organization
Contact information
Practice address
4373 VIEWRIDGE AVE, STE A, SAN DIEGO, CA 92123-1619
(858) 874-6750
(858) 874-6736
Mailing address
4373 VIEWRIDGE AVE STE A, SAN DIEGO, CA 92123
(858) 874-6750
(858) 874-6736
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
97948241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXA000080
—
CA
Enumeration date
06/12/2006
Last updated
11/17/2009
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