Contract Details
Facility name
DJO, LLC
Provider ID
P000000001
NPI
1497731533
Tax ID
522165554
Effective Date
7/12/2021
Last Updated
7/29/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
5919 Sea Otter Place Suite 200
Carlsbad, CA 92010
United States
Phone
800-328-2536 (Phone)
Billing Details
Address
2900 Lake Vista Drive
Lewisville, TX 75067
Billing Phone
800-328-2536
Specialty Type
Durable Medical Equipment & Medical Supplies
Website
Visit Website
Map
Address