Provider Demographics
NPI:1730360561
Name:THE HAND & UPPER EXTREMITY CENTER INC
Entity type:Organization
Organization Name:THE HAND & UPPER EXTREMITY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-495-0516
Mailing Address - Street 1:101 HODENCAMP RD
Mailing Address - Street 2:100
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5836
Mailing Address - Country:US
Mailing Address - Phone:805-495-0516
Mailing Address - Fax:805-381-9366
Practice Address - Street 1:3695 ALAMO ST
Practice Address - Street 2:205
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2188
Practice Address - Country:US
Practice Address - Phone:805-520-7990
Practice Address - Fax:805-520-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4484430002Medicare NSC
CAW15501AMedicare PIN