Provider Demographics
NPI:1073869897
Name:ORTHO DME
Entity Type:Organization
Organization Name:ORTHO DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIRI
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-661-3164
Mailing Address - Street 1:2781 W MACARTHUR BLVD
Mailing Address - Street 2:SUITE B308
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-8300
Mailing Address - Country:US
Mailing Address - Phone:714-589-2558
Mailing Address - Fax:714-829-3014
Practice Address - Street 1:2781 W MACARTHUR BLVD
Practice Address - Street 2:SUITE B308
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-8300
Practice Address - Country:US
Practice Address - Phone:714-589-2558
Practice Address - Fax:714-829-3014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies