Organization
ORTHOVANTAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOREN LIND (MANAGER)
(949) 443-4418
Entity
Organization
Contact information
Practice address
27 BROOKLINE, ALISO VIEJO, CA 92656-1461
(949) 443-4414
(949) 493-4754
Mailing address
27 BROOKLINE, ALISO VIEJO, CA 92656-1461
(949) 443-4414
(949) 493-4754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
09/28/2011
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