Orthovantage, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOVANTAGE, INC

Practice address

27 Brookline
Aliso Viejo, CA 92656-1461

Phone

(949) 443-4414

Fax

(949) 493-4754

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Soren Lind

Title

Manager

Phone

(949) 443-4418

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1750596995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BROOKLINE",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561461",
            "telephone_number": "949-443-4414",
            "fax_number": "949-493-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BROOKLINE",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561461",
            "telephone_number": "949-443-4414",
            "fax_number": "949-493-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOVANTAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "SOREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-443-4418"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Online Imaging Network a Professional Corporation
• Opal Dental, PC
• Open Mind Modalities Acupuncture, Inc.
• Orange County Health Care Agency
• Ortho Supply, Inc
• Sandra Ortiz
• Oso Pediatrics, Inc.
• Michael Edward Otoupalik, D.C.
• Pacific Pulmonary Group a Medical Corporation
• Packer Endodontics

• All providers in Aliso Viejo, CA
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.