Provider Demographics
NPI:1043482433
Name:TOTAL CONTACT MEDICAL INC.
Entity Type:Organization
Organization Name:TOTAL CONTACT MEDICAL INC.
Other - Org Name:TOTAL CONTACT PROSTHETICS AND ORTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:OEST
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:562-298-4070
Mailing Address - Street 1:8201 SANTA FE SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-2718
Mailing Address - Country:US
Mailing Address - Phone:562-298-4070
Mailing Address - Fax:562-774-0514
Practice Address - Street 1:8201 SANTA FE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2718
Practice Address - Country:US
Practice Address - Phone:562-298-4070
Practice Address - Fax:562-774-0514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6039290001Medicare NSC