Provider Demographics
NPI:1750506713
Name:INHOUS ORTHOPEDICS, INC.
Entity Type:Organization
Organization Name:INHOUS ORTHOPEDICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:KORCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:714-839-9026
Mailing Address - Street 1:15571 BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7554
Mailing Address - Country:US
Mailing Address - Phone:714-839-9026
Mailing Address - Fax:714-839-0548
Practice Address - Street 1:15571 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7554
Practice Address - Country:US
Practice Address - Phone:714-839-9026
Practice Address - Fax:714-839-0548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMS164236Medicaid
CAGFC000090Medicaid
CAZZZ12806ZOtherBLUE SHIELD
CAZZZ12806ZOtherBLUE SHIELD