Organization
AMPUTEE SUPPLIES INC
Active
Other names
AMPUTEE STORE
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN POTOK CPO (PRESIDENT)
(805) 341-6889
Entity
Organization
Contact information
Practice address
800 MCGARRY ST STE 323, LOS ANGELES, CA 90021-1950
(323) 306-4981
Mailing address
PO BOX 1299, SOUTH PASADENA, CA 91031-1299
(323) 306-4981
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
05/17/2024
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