Provider Demographics
NPI:1932657103
Name:RESTORE MEDICAL INC.
Entity Type:Organization
Organization Name:RESTORE MEDICAL INC.
Other - Org Name:RESTORE ORTHOTICS AND PROSTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KATI
Authorized Official - Middle Name:
Authorized Official - Last Name:AUXIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-523-7670
Mailing Address - Street 1:3958 VALLEY AVE STE H
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4701
Mailing Address - Country:US
Mailing Address - Phone:925-523-7670
Mailing Address - Fax:925-399-6709
Practice Address - Street 1:770 MASON ST STE 115
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-4647
Practice Address - Country:US
Practice Address - Phone:707-359-4642
Practice Address - Fax:707-359-4613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier