Provider Demographics
NPI:1710211008
Name:ORTHO F-X, LLC
Entity Type:Organization
Organization Name:ORTHO F-X, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-489-7268
Mailing Address - Street 1:3562 HOWARD AVE
Mailing Address - Street 2:#C
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3689
Mailing Address - Country:US
Mailing Address - Phone:866-489-7268
Mailing Address - Fax:562-366-7012
Practice Address - Street 1:3562 HOWARD AVE
Practice Address - Street 2:#C
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3689
Practice Address - Country:US
Practice Address - Phone:866-489-7268
Practice Address - Fax:562-366-7012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-20
Last Update Date:2009-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47561332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies