NPI Code Detail JSON Logo

1598290793 NPI number — ABLE ORTHO CLINIC INC

NPI Number: 1598290793
Health Care Provider/Practitioner: ABLE ORTHO CLINIC INC

Information about “1598290793” NPI (ABLE ORTHO CLINIC INC) exists in 1598290793 in HTML format HTML  |  1598290793 in plain Text format TXT  |  1598290793 in PDF (Portable Document Format) PDF  |  1598290793 in an XML format XML  formats.

NPI Number : 1598290793 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598290793",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ABLE ORTHO CLINIC INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2982 MCDONALD LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORONA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92881-8212",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-480-8760",
    "MailingAddressFaxNumber": "951-929-5033",
    "FirstLinePracticeLocationAddress": "475 W STETSON AVE",
    "SecondLinePracticeLocationAddress": "SUITE C",
    "PracticeLocationAddressCityName": "HEMET",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92543-7070",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-929-5000",
    "PracticeLocationAddressFaxNumber": "951-929-5033",
    "EnumerationDate": "04/25/2017",
    "LastUpdateDate": "04/25/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MITRA",
    "AuthorizedOfficialFirstName": "PAMPA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "310-480-8760",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "335E00000X",
        "TaxonomyName": "Prosthetic/Orthotic Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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