Provider Demographics
NPI:1043402878
Name:ORTHOPEDICS UNLIMITED
Entity Type:Organization
Organization Name:ORTHOPEDICS UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:MUNGIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-895-1951
Mailing Address - Street 1:PO BOX 7334
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927
Mailing Address - Country:US
Mailing Address - Phone:530-895-1951
Mailing Address - Fax:530-895-0624
Practice Address - Street 1:1758 VALLOMBROSA AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-895-1951
Practice Address - Fax:530-895-1951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies