STANCE PROSTHETICS & ORTHOTICS LLC


Address: 1300 W 155th St, Suite 106, Gardena, CA 90247-4048
Phone: 3105384596

STANCE PROSTHETICS & ORTHOTICS LLC (NPI# 1629350178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629350178
Entity Type Organization
Organization Name STANCE PROSTHETICS & ORTHOTICS LLC
Practice Address 1300 W 155th St
Suite 106
Gardena
CA 90247-4048
Practice Telephone 3105384596
Practice Fax Number 3105384504
Mailing Telephone 3105384596
Mailing Fax Number 3105384504
Enumeration Date 2011-09-11
Last Update Date 2011-09-11
Authorized Official Name KENNETH TEMEKI (MEMBER/OWNER LLC)
Authorized Official Telephone 3105384596
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Office Location

Street Address 1300 W 155TH ST
SUITE 106
City GARDENA
State CA
Zip Code 90247-4048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689610768 Cheryl J Hanks Physical Therapist 1300 W 155th St, Suite 203, Gardena, CA 90247 2006-06-20
1588110803 Sirach Acupuncture Inc Acupuncturist 1300 W 155th St, Suite 102, Gardena, CA 90247-4048 2016-08-28
1508164328 La County Department of Mental Health Rehabilitation Practitioner 1300 W 155th St, Ste. #103, Gardena, CA 90247-4048 2011-03-02
1306140637 Rivy Olasumbo Oseni Nurse Practitioner 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 2010-12-30
1932409281 Janice Gregory Registered Nurse 1300 W 155th St, 103, Gardena, CA 90247-4048 2010-11-02
1932421484 Cre-sha A Beverly Counselor 1300 W 155th St, Gardena, CA 90247-4048 2010-02-25
1295057792 Gary David Barnett Counselor 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 2010-02-24
1629302948 Etna L Gonzalez Registered Nurse 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 2009-09-21
1629211396 Deanna Marie King Counselor 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 2009-04-10
1003075656 Bryce K. Yamauchi Podiatrist 1300 W 155th St, Suite 210, Gardena, CA 90247-4048 2008-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982204707 Melissa Reyes Home Health Aide 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 2020-10-30
1538645569 Christopher Jabarie Markham Case Manager/Care Coordinator 12817 S Hoover St Apt 14, Gardena, CA 90247 2018-07-12
1013404243 Sunshine Community Resource Organization Center Counselor 1202 W 135th Street, Gardena, CA 90247 2018-04-13
1124537261 Nina Vu Pharmacist 14416 Plum Lane, Unit 3, Gardena, CA 90247 2017-09-20
1356871008 Delaram Moshfegh Pharmacist 1735 Artesia Blvd, Gardena, CA 90247 2017-06-15
1497290522 Better Vision Optical Eyewear Supplier (Equipment, not the service) 1121 W Gardena Blvd Ste A, Gardena, CA 90247 2016-12-28
1013394832 Lydia Gonzalez Case Management 13605 S Vermont Ave Apt 16, Gardena, CA 90247 2015-04-30
1396147682 Daniel Medical Group, Inc. Acupuncturist 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 2014-09-18
1386913663 Linda Doreen Humphries Nurse Practitioner 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 2011-12-15
1215229547 Everett D Wong Social Worker 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 2011-05-04
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821696592 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 3031 W March Ln Ste 216w, Stockton, CA 95219-6500 2020-10-14
1871191742 Alcam Medical Inc. Prosthetic/Orthotic Supplier 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 2020-10-13
1740887462 A-z Consulting O & P Services Prosthetic/Orthotic Supplier 1133 Smith Ln Ste 5, Roseville, CA 95661-4131 2020-10-06
1255938452 Sheek Hair Boutique Prosthetic/Orthotic Supplier 1432 N Cedar Ave Apt 107, Fresno, CA 93703-5303 2020-10-01
1922615368 Inland Artificial Limb & Brace Prosthetic/Orthotic Supplier 1101 Bryan Ave Ste C, Tustin, CA 92780-4401 2020-09-29
1043823461 Crystal Johnson Prosthetic/Orthotic Supplier 812 S Flower St Apt 4, Inglewood, CA 90301-7913 2020-08-25
1225640220 Christopher Holloway Prosthetic/Orthotic Supplier 4517 Market St Ste 4, Ventura, CA 93003-7841 2020-08-20
1407468416 Cranial Technologies, Inc. Prosthetic/Orthotic Supplier 488 E Valley Pkwy Ste 207, Escondido, CA 92025-3368 2020-08-20
1801406269 Restore Medical Inc Prosthetic/Orthotic Supplier 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 2020-07-31
1801404199 Covering With Care Prosthetic/Orthotic Supplier 21350 Avalon Blvd Unit 5039, Carson, CA 90749-7032 2020-07-22
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Competitor

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City GARDENA
Zip Code 90247

Improve Information

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Dataset Information

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.

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