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
24331 EL TORO RD STE 200, LAGUNA WOODS, CA 92637-3116
(949) 586-3200
(949) 900-2116
Mailing address
PO BOX 45928, BALTIMORE, MD 21297-5928
(949) 586-3200
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
About Stedi
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