Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Core Prosthetics Lab, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1720253305

Core Prosthetics Lab, Inc is a Prosthetic/Orthotic Supplier in Sun City, California. Licensed in Delaware. Registered with an NPI since 2008.

Licensed in
DE
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29723 New Hub Dr Ste A
Sun City, CA 92586-6537
Phone: (951) 246-8888
Fax: (951) 246-8675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence P1115 (DE)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence CFM01267 (DE)

Record details

NPI number1720253305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tuty Irianto — Manager · (951) 246-8888
NPI enumeratedApril 24, 2008
Last updated in NPPESNovember 19, 2009
Mailing address29723 New Hub Dr Ste A, Sun City, CA 92586-6537