Healthcare Provider Details
I. General information
NPI: 1649560061
Provider Name (Legal Business Name): WESTERN HAND AND ORTHOPEDICS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/19/2011
Last Update Date: 04/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8555 FLORENCE AVE
DOWNEY CA
90240-4014
US
IV. Provider business mailing address
8555 FLORENCE AVE
DOWNEY CA
90240-4014
US
V. Phone/Fax
- Phone: 562-862-9350
- Fax: 562-923-9869
- Phone: 562-862-9350
- Fax: 562-923-9869
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | 6625 |
| License Number State | CA |
VIII. Authorized Official
Name: MRS.
CYNTHIA
DENISE
HINSHAW
Title or Position: OCCUPATIONAL THERAPY
Credential: OTR
Phone: 562-862-9350