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

Mr. Samuel Maldonado Jr., BOCO

Individual provider Orthotist · NPI 1013456979

Mr. Samuel Maldonado Jr., BOCO is an Orthotist in Fullerton, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

2151 N Harbor Blvd Ste 1200
Fullerton, CA 92835-3821
Phone: (714) 871-9960
Fax: (714) 871-9965
Show map & directions

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

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence C50102 (CA)

Record details

NPI number1013456979
Entity typeIndividual (Type 1)
GenderMale
Credentials BOCO
Sole proprietorNo
NPI enumeratedFebruary 13, 2017
Last updated in NPPESFebruary 13, 2017

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