MEDICARE: ALL CITIES ORTHOPEDICS, 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	335E00000X	Prosthetic/Orthotic Supplier	103642	CA

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	:	1538338033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CITIES ORTHOPEDICS, INC

Provider Business Mailing Address
First Line	:	11101 ATLANTIC AVE
Second Line	:	SUITE B
City	:	LYNWOOD
State	:	CA
Zip	:	90262-3003
Country	:	US
Telephone Number	:	310-638-9806
Fax Number	:	310-638-9846

Provider Business Practice Location Address
First Line	:	11101 ATLANTIC AVE
Second Line	:	SUITE B
City	:	LYNWOOD
State	:	CA
Zip	:	90262-3003
Country	:	US
Telephone Number	:	310-638-9806
Fax Number	:	310-638-9846

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MR. RUDY A LUEVANO SR.
Credential	:	ORTHOTIST/PROSTHETIS
Telephone Number	:	310-638-9806

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	02/28/2008

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Directions to “ALL CITIES ORTHOPEDICS, INC ” Practice Location

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