MEDICARE: ORTHO PLUS, 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

General Provider Information

NPI Number	:	1134177702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHO PLUS, INC.

Provider Business Mailing Address
First Line	:	3606 OCEAN RANCH BLVD
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-2669
Country	:	US
Telephone Number	:	760-231-8189
Fax Number	:	888-594-8109

Provider Business Practice Location Address
First Line	:	3606 OCEAN RANCH BLVD
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-2669
Country	:	US
Telephone Number	:	760-231-8189
Fax Number	:	888-594-8109

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. TERI SOWUL
Credential	:
Telephone Number	:	760-231-8189

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	03/08/2012

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Directions to “ORTHO PLUS, INC. ” Practice Location

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