Organization
PROSTHETIC & ORTHOTIC GROUP SAN GABRIEL VALLEY, INC
Active
Other names
Prosthetic & Orthotic Group Van Nuys, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(626) 256-1415
Entity
Organization
Contact information
Practice address
5658 SEPULVEDA BLVD STE 206, VAN NUYS, CA 91411-2951
(818) 538-5613
(626) 256-1405
Mailing address
5658 SEPULVEDA BLVD STE 206, VAN NUYS, CA 91411-2951
(818) 538-5613
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548718612
—
CA
Enumeration date
06/02/2020
Last updated
05/14/2026
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