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NPI Code Detail

MEDICARE: ABILITY BIOMECHANICS INT'L INC

MEDICARE: ABILITY BIOMECHANICS INT'L 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
1261Q00000XClinic/Center
2261QA0900XAmputee Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1124022959
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABILITY BIOMECHANICS INT'L INC
Provider Business Mailing Address
First Line : 6190 FAIRMOUNT AVE
Second Line : SUITE A
City : SAN DIEGO
State : CA
Zip : 92120-3428
Country : US
Telephone Number : 619-285-5040
Fax Number : 619-285-5045
Provider Business Practice Location Address
First Line : 6190 FAIRMOUNT AVE
Second Line : SUITE A
City : SAN DIEGO
State : CA
Zip : 92120-3428
Country : US
Telephone Number : 619-285-5040
Fax Number : 619-285-5045
Authorized Official
Title or Position : OFFICE MANAGER
Name : MR. JOHN E PRATER
Credential :
Telephone Number : 619-285-5040
Provider Enumeration Date : 06/09/2005
Last Update Date : 11/18/2009

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Directions to “ABILITY BIOMECHANICS INT'L INC ” Practice Location

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