Organization
PROWALK ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG C. PARK CPO. (MANAGER)
(818) 782-3435
Entity
Organization
Contact information
Practice address
7232 VAN NUYS BLVD, #205, VAN NUYS, CA 91405-2231
(818) 782-3435
(818) 782-6858
Mailing address
7232 VAN NUYS BLVD, #205, VAN NUYS, CA 91405-2231
(818) 782-3435
(818) 782-6858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0019745
—
CA
Enumeration date
01/19/2007
Last updated
08/22/2020
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