Organization
MONTEREY PENNINSULA ORTHOTIC AND PROSTHETIC SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES P. KIRN BS (OWNER/PRESIDENT)
(831) 655-3580
Entity
Organization
Contact information
Practice address
30 RAGSDALE DR STE 200, MONTEREY, CA 93940-7811
(831) 655-3580
(831) 655-3501
Mailing address
30 RAGSDALE DR STE 200, MONTEREY, CA 93940-7811
(831) 655-3580
(831) 655-3501
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0007762
—
CA
01
—
ZZZ65338Z
BLUE SHIELD
—
Enumeration date
12/04/2007
Last updated
03/23/2021
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