Organization
HEMET PROSTHETIC & ORTHOTIC GROUP, INC.
Active
Parent organization
HEMET PROSTHETIC & ORTHOTIC GROUP, INC.
Other names
HEMET PROSTHETIC & ORTHOTIC GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEMET PROSTHETIC & ORTHOTIC GROUP, INC.
Authorized official
MR. WAYNE ALLEN KAUFMAN C.P.O. (PRESIDENT)
(951) 766-4297
Entity
Organization
Contact information
Practice address
41785 ENTERPRISE CIR S, #E, TEMECULA, CA 92590-9804
(951) 296-9677
(951) 296-9681
Mailing address
1133 E FLORIDA AVE, HEMET, CA 92543-4512
(951) 766-4297
(951) 766-4299
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XBOO15640
—
CA
Enumeration date
08/01/2008
Last updated
12/19/2011
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