Provider Demographics
NPI:1093857740
Name:APPLIED ORTHOTIC SYSTEMS LTD
Entity Type:Organization
Organization Name:APPLIED ORTHOTIC SYSTEMS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CORPORATION
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:W
Authorized Official - Last Name:GUILFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:714-549-5018
Mailing Address - Street 1:2414 S FAIRVIEW ST
Mailing Address - Street 2:SUITE 107A
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5318
Mailing Address - Country:US
Mailing Address - Phone:714-549-5018
Mailing Address - Fax:714-549-5028
Practice Address - Street 1:2414 S FAIRVIEW ST
Practice Address - Street 2:SUITE 107A
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5318
Practice Address - Country:US
Practice Address - Phone:714-549-5018
Practice Address - Fax:714-549-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ71388ZMedicaid