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Organization

PIONEER ORTHOTICS AND PROSTHETICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARYA AMIRSHAHROKHI CPO (CEO)
(949) 945-9606
Entity
Organization

Contact information

Practice address
23672 BIRTCHER DR UNIT A, LAKE FOREST, CA 92630-1711
(949) 945-9606
(949) 945-9604
Mailing address
PO BOX 546, LAKE FOREST, CA 92609-0546
(949) 945-9606
(949) 945-9604

Taxonomy

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

Other

Enumeration date
06/05/2018
Last updated
06/05/2025
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