Organization
O & P IN MOTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP P AMBROSET C.P.O (PROSTHETIST ORTHOTIST)
(818) 881-1785
Entity
Organization
Contact information
Practice address
18913 SHERMAN WAY, RESEDA, CA 91335-2604
(818) 881-1785
(818) 881-7854
Mailing address
18913 SHERMAN WAY, RESEDA, CA 91335-2604
(818) 881-1785
(818) 881-7854
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1643
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10866
VENDOR NUMBER
CA
05
—
XC0016430
—
CA
01
—
ZZZ39566Z
PROVIDER NUMBER
CA
Enumeration date
02/16/2007
Last updated
06/05/2013
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