Individual provider · Type 1 NPI
David Steven Sulis, CPO
Prosthetic/Orthotic Supplier · Riverside, CA
Practice location
3714 Tibbetts St, Suite 104
Riverside, CA 92506-2661
Fax (951) 367-7789
Mailing address
3714 Tibbetts St., Suite 104
Riverside, CA 92506-3020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) | 332BC3200X | C22175 (CA) |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | CP002649 (CA) |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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About NPI 1477733962
David Steven Sulis, CPO's National Provider Identifier is 1477733962, issued on Nov 13, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Riverside, CA. The record was last updated on Oct 1, 2009.