MEDICARE: HANGER PROSTHETICS & ORTHOTICS 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
2	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1902275456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANGER PROSTHETICS & ORTHOTICS INC

Provider Business Mailing Address
First Line	:	4155 E LA PALMA AVE STE B400
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-1857
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 WARDER ST STE 125
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45504-2580
Country	:	US
Telephone Number	:	937-325-5404
Fax Number	:	937-325-2454

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

Provider Enumeration Date	:	09/15/2015
Last Update Date	:	06/24/2019

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