Athena Prosthetic Services Incorporated

Organization Active NPI Prosthetic/Orthotic Supplier · Arcadia, CA

NPI 1235348293 · NPPES record last updated Jul 8, 2020

Key facts

NPI
1235348293
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 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
Organization subpart
No

Authorized official

Name
Mr. Kevin B Mohlman, C.P.
Title
Owner Prosthetist
Phone
(626) 256-6360

National Provider Directory

Locations

1050 Lakes Dr
Ste 255
West Covina, CA 91790

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Yes

Addresses

Primary practice location

2824 Fairgreen Ave
Arcadia, CA 91006-5522

Mailing address

2824 Fairgreen Ave
Arcadia, CA 91006-5522
Phone (626) 256-6360

Other providers in Arcadia, CA

All providers in Arcadia, CA · Prosthetic/Orthotic Supplier in California

Sources for this page

Verify at the official NPI Registry.