Provider Demographics
NPI:1801034319
Name:J & K ORTHOPEDICS, INC.
Entity Type:Organization
Organization Name:J & K ORTHOPEDICS, INC.
Other - Org Name:J & K ORTHOPEDICS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:P
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:909-621-1180
Mailing Address - Street 1:224 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-1918
Mailing Address - Country:US
Mailing Address - Phone:626-331-8856
Mailing Address - Fax:626-915-3011
Practice Address - Street 1:224 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-1918
Practice Address - Country:US
Practice Address - Phone:626-331-8856
Practice Address - Fax:626-915-3011
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J & K ORTHOPEDICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier