Healthcare Provider Details

I. General information

NPI: 1750035127
Provider Name (Legal Business Name): OEI PROSTHETICS AND ORTHOTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 DEERING AVE
CHATSWORTH CA
91311-5857
US

IV. Provider business mailing address

9320 DEERING AVE
CHATSWORTH CA
91311-5857
US

V. Phone/Fax

Practice location:
  • Phone: 310-559-5996
  • Fax: 310-559-5003
Mailing address:
  • Phone: 818-253-8909
  • 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: AVETIS ASHKHARIKIAN
Title or Position: CEO
Credential:
Phone: 818-389-1407