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Organization

LIMB CRAFT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHAN RYAN LEE CPO (PRESIDENT)
(714) 626-0417
Entity
Organization

Contact information

Practice address
810 E CHAPMAN AVE, SUITE C, FULLERTON, CA 92831-3850
(714) 626-0417
(714) 626-0319
Mailing address
810 E CHAPMAN AVE, SUITE C, FULLERTON, CA 92831-3850
(714) 626-0417
(714) 626-0319

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO02709
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5140637
MEDI-CAL PIN
CA
01
GXC000930
MEDI-CAL GROUP
CA
01
ZZZ69704Z
BLUE SHEILD
CA
Enumeration date
11/02/2006
Last updated
08/01/2022
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