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Organization

ORTHOWEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYCE ALAN JOHNSON (AUTHORIZED OFFICIAL)
(949) 586-3200
Entity
Organization

Contact information

Practice address
3851 KATELLA AVE STE 150, LOS ALAMITOS, CA 90720-3353
(562) 314-1400
(562) 431-0564
Mailing address
PO BOX 45928, BALTIMORE, MD 21297-5928
(562) 314-1400

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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