Organization
LONG BEACH ARTIFICIAL LIMB CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES B JONES C.P. (PRESIDENT)
(562) 426-5531
Entity
Organization
Contact information
Practice address
2268 LONG BEACH BLVD, LONG BEACH, CA 90806-4417
(562) 426-5531
(562) 426-6773
Mailing address
2268 LONG BEACH BLVD, LONG BEACH, CA 90806-4417
(562) 426-5531
(562) 426-6773
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GFB000020
—
CA
Enumeration date
10/01/2005
Last updated
08/22/2020
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