Organization
HANDS ON PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BLEAK BORGQUIST CP (OWNER PRESIDENT)
(714) 847-8751
Entity
Organization
Contact information
Practice address
7921 PROFESSIONAL CIR, HUNTINGTON BEACH, CA 92648-1901
(714) 847-8751
(714) 847-8913
Mailing address
7921 PROFESSIONAL CIR, HUNTINGTON BEACH, CA 92648-1901
(714) 847-8751
(714) 847-8913
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XB0029250
MEDI CAL
CA
01
—
ZZZ64903Z
BLUE SHIELD
CA
Enumeration date
07/31/2006
Last updated
04/10/2013
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