Provider Demographics
NPI:1033989306
Name:O&P STATION, INC
Entity Type:Organization
Organization Name:O&P STATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUNHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:714-726-3802
Mailing Address - Street 1:1335 W VALENCIA DR STE M
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-4046
Mailing Address - Country:US
Mailing Address - Phone:714-726-3802
Mailing Address - Fax:714-464-4502
Practice Address - Street 1:1335 W VALENCIA DR STE M
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-4046
Practice Address - Country:US
Practice Address - Phone:714-726-3802
Practice Address - Fax:714-464-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier