Provider Demographics
NPI:1881153039
Name:GOOD FIT ORTHOTICS, INC.
Entity type:Organization
Organization Name:GOOD FIT ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-303-0402
Mailing Address - Street 1:9628 CAMPO RD STE T
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-1227
Mailing Address - Country:US
Mailing Address - Phone:619-303-0402
Mailing Address - Fax:
Practice Address - Street 1:9628 CAMPO RD STE T
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-1227
Practice Address - Country:US
Practice Address - Phone:619-303-0402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies