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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1720573496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANGER PROSTHETICS & ORTHOTICS WEST INC

Provider Business Mailing Address
First Line	:	P O BOX 650846
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E WILLOW ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-3115
Country	:	US
Telephone Number	:	562-206-8032
Fax Number	:	562-217-4507

Authorized Official
Title or Position	:	REG COMPLIANCE SPECIALIST IV
Name	:	GRACE ANGELINE
Credential	:
Telephone Number	:	714-961-2102

Provider Enumeration Date	:	06/26/2018
Last Update Date	:	02/25/2022

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