| Organization Name: | SPECIALIZED ORTHOPEDIC SOLUTIONS, INC |
| NPI Number: | 1083894406 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY VONDERHAAR (PRESIDENT / CEO) |
| Mailing Address: | 9259 Eton Ave Chatsworth |
| State: | CA US |
| Postal Code: | 913115808 |
| Phone Number: | 8182803147 |
| Fax Number: | 3239783147 |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 01/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |