Organization
PROFESSIONAL ORTHOPEDIC SYSTEMS OF SACRAMENTO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM TABLADA C.P.O. (OWNER)
(916) 331-3537
Entity
Organization
Contact information
Practice address
5049 COLLEGE OAK DR, SUITE F, SACRAMENTO, CA 95841-4630
(916) 331-3537
(916) 331-3587
Mailing address
5049 COLLEGE OAK DR STE F, SACRAMENTO, CA 95841-4630
(916) 331-3537
(916) 331-3587
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GFC000130
—
CA
Enumeration date
09/13/2005
Last updated
07/29/2022
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