Provider Demographics
NPI:1043670094
Name:USA MEDICAL BRACES LLC
Entity Type:Organization
Organization Name:USA MEDICAL BRACES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEVESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-598-4831
Mailing Address - Street 1:8405 RIO SAN DIEGO DR
Mailing Address - Street 2:UNIT 5414
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-5689
Mailing Address - Country:US
Mailing Address - Phone:858-598-4831
Mailing Address - Fax:800-214-6548
Practice Address - Street 1:8405 RIO SAN DIEGO DR
Practice Address - Street 2:UNIT 5414
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-5689
Practice Address - Country:US
Practice Address - Phone:858-598-4831
Practice Address - Fax:800-214-6548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies