West Coast Orthotic Labs

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WEST COAST ORTHOTIC LABS

Practice address

163 Enterprise Way
Upland, CA 91786-1509

Phone

(909) 946-5562

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Park Metha

Title

President

Phone

(909) 946-5562

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul A Metha

  • Other Technician
  • Upland, CA
  • NPI 1225230550
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1457531824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ENTERPRISE WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917861509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENTERPRISE WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917861509",
            "telephone_number": "909-946-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST ORTHOTIC LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "METHA",
        "authorized_official_first_name": "PARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-946-5562"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wehner
• Ninfa P Weinzapfel, P.T.
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• Wellness Healthcare, Inc.
• Wellyou Therapy
• Reginald L West Sr.
• Tanya West, FNP
• Sarah Weston
• Wetherby Hospice Care, Inc.
• White Stone Counseling

• Durable Medical Equipment & Medical Supplies in Upland, CA
• Providers in Upland, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.