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CORE PROSTHETICS LAB, INC.
NPI 1720253305
Prosthetic/Orthotic Supplier in Sun City, CA

Active since April 24, 2008
29723 NEW HUB DR STE A, SUN CITY, CA 92586(951) 246-8888(951) 246-8675 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Core Prosthetics Lab, Inc. NPPES

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

CORE PROSTHETICS LAB, INC. (NPI 1720253305) is a healthcare organization registered as a prosthetic/orthotic supplier in Sun City, California and active in the NPI registry since April 2008. The organization lists Tuty Irianto, Manager, as its authorized official.

NPPES Registry Identity

NPI1720253305
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCORE PROSTHETICS LAB, INC.
Location Address29723 NEW HUB DR STE ASun City, CA 92586-6537
Mailing Address29723 New Hub Dr Ste ASun City, CA 92586-6537 · (951) 246-8888 · Fax (951) 246-8675
Phone(951) 246-8888
Fax(951) 246-8675
Organization SubpartNo
Authorized OfficialTuty IriantoManager · (951) 246-8888
Enumeration DateApril 24, 2008
Last NPPES UpdateNovember 19, 2009
✔ NPI 1720253305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Licenses✔ Licensed in DE · P1115✔ Licensed in DE · CFM01267
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.
29723 NEW HUB DR STE A, Sun City, CA 92586
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Other Identifiers 1

Medicare NSC6117940001CA

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 Core Prosthetics Lab, Inc.'s NPI number?

The NPI number for Core Prosthetics Lab, Inc. is 1720253305. It was assigned to this organization in the NPPES registry on April 24, 2008.

Where is Core Prosthetics Lab, Inc. located?

Core Prosthetics Lab, Inc. is located at 29723 New Hub Dr Ste A, Sun City, CA 92586. The listed phone number is (951) 246-8888.

What is Core Prosthetics Lab, Inc.'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 Core Prosthetics Lab, Inc. was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.