MEDICARE: HANGER PROSTHETICS & ORTHOTICS WEST INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043384191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANGER PROSTHETICS & ORTHOTICS WEST INC

Provider Business Mailing Address
First Line	:	1660 SAN PABLO AVE
Second Line	:	SUITE 200
City	:	PINOLE
State	:	CA
Zip	:	94564-2077
Country	:	US
Telephone Number	:	510-724-0400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 SAN PABLO AVE
Second Line	:
City	:	PINOLE
State	:	CA
Zip	:	94564-2077
Country	:	US
Telephone Number	:	510-724-0400
Fax Number	:

Authorized Official
Title or Position	:	DIR OF REIMBURSEMENT
Name	:	SHERYL PRICE
Credential	:
Telephone Number	:	503-493-8288

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/27/2010

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