Healthcare Provider Details

I. General information

NPI: 1912955881
Provider Name (Legal Business Name): VALLEY INSTITUTE OF PROSTHETICS & ORTHOTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 21ST ST STE. B
BAKERSFIELD CA
93301-4002
US

IV. Provider business mailing address

1524 21ST ST STE. B
BAKERSFIELD CA
93301-4002
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-1005
  • Fax: 661-322-0528
Mailing address:
  • Phone: 661-322-1005
  • Fax: 661-322-0528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberNOT APPLICABLE
License Number StateCA

VIII. Authorized Official

Name: MR. BARRY W TOWNSEND
Title or Position: PRESIDENT
Credential: C.P.O.
Phone: 661-322-1005