MEDICARE: GLOBAL PROSTHETICS & ORTHOTICS

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	335E00000X	Prosthetic/Orthotic Supplier		CA

General Provider Information

NPI Number	:	1508855776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL PROSTHETICS & ORTHOTICS

Provider Business Mailing Address
First Line	:	PO BOX 4626
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90309-4626
Country	:	US
Telephone Number	:	323-565-4093
Fax Number	:	323-565-4030

Provider Business Practice Location Address
First Line	:	2021 W FLORENCE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047
Country	:	US
Telephone Number	:	323-565-4093
Fax Number	:	323-565-4030

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	MAHMOOD HARATI
Credential	:
Telephone Number	:	310-493-5462

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	03/29/2010

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Directions to “GLOBAL PROSTHETICS & ORTHOTICS ” Practice Location

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