Organization
DJO, LLC
Active
Parent organization
DJO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DJO, LLC
Authorized official
MR. ANDRES MORENO III (GOVERNMENT PAYOR RELATIONS ADVISOR)
(704) 749-6291
Entity
Organization
Contact information
Practice address
2400 COUNTY ROAD D W STE 110, SAINT PAUL, MN 55112-8503
(612) 445-9191
(844) 277-2075
Mailing address
2900 LAKE VISTA DR STE 200, LEWISVILLE, TX 75067-3889
(704) 749-6291
(704) 831-8300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/24/2023
Last updated
12/05/2025
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