Athena Prosthetic Services Incorporated

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ATHENA PROSTHETIC SERVICES INCORPORATED

Practice address

2824 Fairgreen Ave
Arcadia, CA 91006-5522

Phone

(626) 256-6360

NPI assigned

May 22, 2007

Last updated

Jul 8, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin B Mohlman, C.P.

Title

Owner Prosthetist

Phone

(626) 256-6360

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1235348293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 FAIRGREEN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065522",
            "telephone_number": "626-256-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 FAIRGREEN AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065522",
            "telephone_number": "626-256-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA PROSTHETIC SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "MOHLMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER PROSTHETIST",
        "authorized_official_telephone_number": "626-256-6360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.