Organization
ACTION ORTHOPEDIC COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILVER MILTON GOMES BOCPO,CP (PRESIDENT)
(213) 482-5226
Entity
Organization
Contact information
Practice address
23332 HAWTHORNE BVLD, SUITE # 304, TORRANCE, CA 90505-3749
(213) 215-8553
(213) 482-5040
Mailing address
637 LUCAS AVE, SUITE # 609 L, OS ANGELES, CA 90017-1997
(213) 482-5226
(213) 482-5040
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598799090
—
CA
Enumeration date
03/30/2017
Last updated
11/29/2018
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