Healthcare Provider Details

I. General information

NPI: 1538220587
Provider Name (Legal Business Name): HANGER PROSTHETICS & ORTHOTICS WEST INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6403 COYLE AVE SUITE 380
CARMICHAEL CA
95608-0311
US

IV. Provider business mailing address

6403 COYLE AVE SUITE 380
CARMICHAEL CA
95608-0311
US

V. Phone/Fax

Practice location:
  • Phone: 916-536-1121
  • Fax:
Mailing address:
  • Phone: 916-536-1121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHERYL PRICE
Title or Position: DIR OF REIMBURSEMENT
Credential:
Phone: 503-493-8288