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

Ortho Shock Wave Therapy, Inc

Organization Specialist · NPI 1356430482

Ortho Shock Wave Therapy, Inc is a Specialist in Costa Mesa, California. Registered with an NPI since 2006.

In the registry since
2006
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

3636 Harbor Blvd H2
Costa Mesa, CA 92626
Phone: (714) 966-9335
Fax: (714) 966-9706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1356430482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Willetts — Chief Executive Officer · (714) 966-9335
NPI enumeratedOctober 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3303 Harbor Blvd, Suite H2, Costa Mesa, CA 92626-1530

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