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

Ginos Wide Shoes & Shoe Repair

Organization Durable Medical Equipment & Medical Supplies · NPI 1073464350

Ginos Wide Shoes & Shoe Repair is a Durable Medical Equipment & Medical Supplies in LA Mesa, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

5500 Grossmont Center Dr Ste 141 Ste 141
LA Mesa, CA 91942-3070
Phone: (619) 433-4466
Fax: (619) 439-6787
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X

Record details

NPI number1073464350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pablo Serrano — Owner · (619) 433-4466
NPI enumeratedFebruary 4, 2026
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address5500 Grossmont Center Dr Ste 141, Ste 141, La Mesa, CA 91942-3070

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