Organization
CAPSTONE ORTHOPEDIC, INC.
Active
Other names
Shoreline Prosthetics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN S ELLIS CPO (CEO)
(209) 612-6168
Entity
Organization
Contact information
Practice address
1010 WATER ST, SANTA CRUZ, CA 95062-1559
(831) 421-0007
(831) 421-0003
Mailing address
3553 CASTRO VALLEY BLVD, SUITE B, CASTRO VALLEY, CA 94546-4400
(510) 537-1210
(510) 537-1082
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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