Healthcare Provider Details

I. General information

NPI: 1649456187
Provider Name (Legal Business Name): VENTURA PROSTHETICS& ORTHOTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2008
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 N BATAVIA ST SUITE 104
ORANGE CA
92865-2019
US

IV. Provider business mailing address

1645 DONLON ST SUITE 102
VENTURA CA
93003-5667
US

V. Phone/Fax

Practice location:
  • Phone: 714-357-3940
  • Fax: 805-339-0493
Mailing address:
  • Phone: 805-339-0670
  • Fax: 805-339-0493

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. DAVID H. LITTIG
Title or Position: PRESIDENT
Credential: C.P.
Phone: 805-339-0670