Provider Demographics
NPI:1194834192
Name:ACE ORTHOPEDICS, INC.
Entity Type:Organization
Organization Name:ACE ORTHOPEDICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAME
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:562-923-6400
Mailing Address - Street 1:7860 IMPERIAL HWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3464
Mailing Address - Country:US
Mailing Address - Phone:562-923-6400
Mailing Address - Fax:562-923-2070
Practice Address - Street 1:7860 IMPERIAL HWY
Practice Address - Street 2:SUITE E
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3464
Practice Address - Country:US
Practice Address - Phone:562-923-6400
Practice Address - Fax:562-923-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1870335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ09875ZOtherBLUE SHIELD OF CALIFORNIA
CAXB0026870OtherCCS
CAXC0001870Medicaid
CAXC0001870Medicaid