Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMUEL MALDONADO JR., BOCO
ActiveMR. SAMUEL MALDONADO JR., BOCO is a Orthotist healthcare provider located in FULLERTON, California. NPI 1013456979 is currently active in the NPPES registry. Verify at CMS.
Orthotist · FULLERTON, CA
Registration Details
- NPI Number
- 1013456979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2017 (9.5423126420381 yrs)
- Last Updated
- Feb 13, 2017
- License
-
C50102 (CA)
Practice Information
- Address
-
2151 N. HARBOR BLVDSUITE 1200FULLERTON, CA, 928353821Browse CA providers · Browse ZIP 92835
- Phone
- 7148719960
- Fax
- 7148719965
- Primary Specialty
-
Orthotist
222Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.