Provider Demographics
NPI:1548074909
Name:REDLANDS PROSTHETIC & ORTHOTIC GROUP INC
Entity type:Organization
Organization Name:REDLANDS PROSTHETIC & ORTHOTIC GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RASHIDI
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:909-798-5853
Mailing Address - Street 1:1849 W REDLANDS BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-3127
Mailing Address - Country:US
Mailing Address - Phone:909-798-5853
Mailing Address - Fax:909-798-0602
Practice Address - Street 1:24910 LAS BRISAS RD STE 114
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-4035
Practice Address - Country:US
Practice Address - Phone:951-813-6369
Practice Address - Fax:909-798-0602
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REDLANDS PROSTHETIC & ORTHOTIC GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-05
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier