Healthcare Provider Details

I. General information

NPI: 1033989306
Provider Name (Legal Business Name): O&P STATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 W VALENCIA DR STE M
FULLERTON CA
92833-4046
US

IV. Provider business mailing address

1335 W VALENCIA DR STE M
FULLERTON CA
92833-4046
US

V. Phone/Fax

Practice location:
  • Phone: 714-726-3802
  • Fax: 714-464-4502
Mailing address:
  • Phone: 209-694-4788
  • Fax: 209-694-4934

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: MR. JUNHEE KIM
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: CPO
Phone: 714-726-3802