| Reseda Prosthetics, Inc. | |
|
2220 Lynn Rd Ste 306 Thousand Oaks CA 91360-8000 | |
| (805) 719-3950 | |
| (805) 719-3954 |
| Full Name | Reseda Prosthetics, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 2220 Lynn Rd Ste 306, Thousand Oaks, California |
| Authorized Official Name and Position | Ryan Russell (CERTIFIED PROSTHETIST / ORTHOTIST) |
| Authorized Official Contact | 8189935441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reseda Prosthetics, Inc. 2220 Lynn Rd Ste 306 Thousand Oaks CA 91360-8000 Ph: (805) 719-3950 | Reseda Prosthetics, Inc. 2220 Lynn Rd Ste 306 Thousand Oaks CA 91360-8000 Ph: (805) 719-3950 |
| NPI Number | 1588312433 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588312433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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