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ITALY SHOES AND BOUTIQUE
NPI 1063695633
Prosthetic/Orthotic Supplier in Cerritos, CA

Active since December 06, 2007
11815 SOUTH ST, CERRITOS, CA 90703(562) 860-4634(562) 860-5109 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Italy Shoes And Boutique NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ITALY SHOES AND BOUTIQUE (NPI 1063695633) is a healthcare organization registered as a prosthetic/orthotic supplier in Cerritos, California and active in the NPI registry since December 2007. The organization lists Sandy Soo Chun, Manager, as its authorized official.

NPPES Registry Identity

NPI1063695633
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameITALY SHOES AND BOUTIQUE
Location Address11815 SOUTH STCerritos, CA 90703-6825
Mailing Address11815 South StCerritos, CA 90703-6825 · (562) 860-4634 · Fax (562) 860-5109
Phone(562) 860-4634
Fax(562) 860-5109
Organization SubpartNo
Authorized OfficialSandy Soo ChunManager · (562) 860-4634
Enumeration DateDecember 6, 2007
✔ NPI 1063695633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
11815 SOUTH ST, Cerritos, CA 90703
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Other Identifiers 1

Medicare PIN5489290001CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Italy Shoes And Boutique's NPI number?

The NPI number for Italy Shoes And Boutique is 1063695633. It was assigned to this organization in the NPPES registry on December 6, 2007.

Where is Italy Shoes And Boutique located?

Italy Shoes And Boutique is located at 11815 South St, Cerritos, CA 90703. The listed phone number is (562) 860-4634.

What is Italy Shoes And Boutique's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Italy Shoes And Boutique was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.