DYNAMICS ORTHOTICS & PROSTHETICS, INC. (NPI# 1568509669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568509669 |
Entity Type | Organization |
Organization Name | DYNAMICS ORTHOTICS & PROSTHETICS, INC. |
Practice Address |
1830 W Olympic Blvd Suite #123 Los Angeles CA 90006-3734 |
Practice Telephone | 2133839212 |
Mailing Telephone | 2133839212 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2008-02-13 |
Authorized Official Name | MR. PETER SEAN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 2133839212 |
Authorized Official Credential | C.P.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | GXC000070 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GXC000070 | 05 | |
CA | AETNA | 0005538396 | 01 |
CA | BLUE SHIELD OF CA | ZZZ54748Z | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649514845 | Dynamics Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 16077 Kamana Rd, Suite 100, Apple Valley, CA 92307-1331 | 2012-11-12 |
1912225459 | Dynamics Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1001 W Carson St, Suite L, Torrance, CA 90502-2051 | 2010-05-07 |
Street Address |
1830 W OLYMPIC BLVD SUITE #123 |
City | LOS ANGELES |
State | CA |
Zip Code | 90006-3734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730569229 | New Rose Home Health Care, Inc. | Home Health | 1830 W Olympic Blvd, Unit 206, Los Angeles, CA 90006-3734 | 2015-06-01 |
1609280346 | Los Angeles Community Clinic, Inc. | Clinic/Center | 1830 W Olympic Blvd, Suite 124, Los Angeles, CA 90006-3734 | 2014-06-19 |
1225376213 | Paul Sucgang, D.o., Inc | Family Medicine | 1830 W Olympic Blvd, Suite 124, Los Angeles, CA 90006-3734 | 2013-01-25 |
1982888152 | Keyvan Amirikhorheh | General Practice | 1830 W Olympic Blvd, Unit 124, Los Angeles, CA 90006-3734 | 2007-12-24 |
1538348727 | Manuel Acevedo Medical Group, A Medical Corporation | General Practice | 1830 W Olympic Blvd, Ste. 124, Los Angeles, CA 90006-3734 | 2007-10-24 |
1164564688 | Dynamics Walkagain Rehab Inc. | Physical Therapist | 1830 W Olympic Blvd, Ste 130, Los Angeles, CA 90006-3734 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
Find all providers in zip 90006 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154986750 | Active Life, Inc. | Prosthetic/Orthotic Supplier | 3407 W 6th St Ste 815, Los Angeles, CA 90020-2555 | 2019-05-08 |
1952765711 | Active Life, Inc. | Prosthetic/Orthotic Supplier | 1700 E Cesar E Chavez Ave Ste 3750, Los Angeles, CA 90033 | 2016-04-07 |
1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
1467580423 | Miss Stevens for Lingerie | Prosthetic/Orthotic Supplier | 2235 S Sepulveda Blvd, Los Angeles, CA 90064-1811 | 2007-03-01 |
1316963770 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 189 The Grove Dr Ste P80, Los Angeles, CA 90036-6229 | 2006-07-15 |
1598790081 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 10830 W Pico Blvd, Los Angeles, CA 90064-2106 | 2006-07-12 |
1598799090 | Action Orthopedic Company, LLC | Prosthetic/Orthotic Supplier | 1515 Wilshire Blvd Unit 3, Los Angeles, CA 90017-2216 | 2006-07-10 |
1639125081 | Ortho Engineering Inc | Prosthetic/Orthotic Supplier | 1436 S La Cienega Blvd Ste 102, Los Angeles, CA 90035-3764 | 2006-05-26 |
1508855776 | Global Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 2021 W Florence Ave, Los Angeles, CA 90047 | 2005-10-19 |
1558896407 | Team Makena LLC | Prosthetic/Orthotic Supplier | 6801 Park Terrace Drive, 110, Los Angeles, CA 90045-1544 | 2017-04-28 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90006 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.