Provider Demographics
NPI:1821569674
Name:QUALITY CARE PROSTHETICS & ORTHOTICS, INC.
Entity Type:Organization
Organization Name:QUALITY CARE PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RNP/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THU THUY
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-643-9206
Mailing Address - Street 1:1665 W KATELLA AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-3021
Mailing Address - Country:US
Mailing Address - Phone:714-643-9206
Mailing Address - Fax:714-643-9467
Practice Address - Street 1:3610 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-2607
Practice Address - Country:US
Practice Address - Phone:800-714-4521
Practice Address - Fax:714-643-9467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier