Organization
JOA CORPORATION DBA JOHNSON'S ORTHOPEDIC APPLIANCES INC.
Active
Other names
Johnson's Orthopedic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLI D. KEARNEY (CFO)
(951) 785-4411
Entity
Organization
Contact information
Practice address
81557 DOCTOR CARREON BLVD, SUITE A-2, INDIO, CA 92201-5517
(760) 863-3771
(760) 863-5601
Mailing address
7254 MAGNOLIA AVE, RIVERSIDE, CA 92504-3829
(951) 785-4411
(951) 785-4665
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841469038
NPI
CA
Enumeration date
02/21/2008
Last updated
05/03/2011
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