Provider Demographics
NPI:1659668796
Name:HANGER PROSTHETICS & ORTHOTICS WEST
Entity type:Organization
Organization Name:HANGER PROSTHETICS & ORTHOTICS WEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-493-8288
Mailing Address - Street 1:1480 S HARBOR BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-7534
Mailing Address - Country:US
Mailing Address - Phone:714-871-1480
Mailing Address - Fax:714-871-1749
Practice Address - Street 1:1480 S HARBOR BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-7534
Practice Address - Country:US
Practice Address - Phone:714-871-1480
Practice Address - Fax:714-871-1749
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANGER ORTHOPEDIC GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies