OrganizationActive
Core Prosthetics Lab, Inc.
NPI 1720253305 · Prosthetic/Orthotic Supplier · Sun City, CA
Core Prosthetics Lab, Inc. is a Prosthetic/Orthotic Supplier organization in Sun City, CA (NPI 1720253305).
Provider details
- NPI number
- 1720253305
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Tuty Irianto, Manager(951) 246-8888
- License
- CFM01267 (DE)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29723 New Hub Dr Ste a
Sun City, CA 92586-6537
Phone: (951) 246-8888
Fax: (951) 246-8675
Street-level locationGet directions
Mailing address
29723 New Hub Dr Ste a
Sun City, CA 92586-6537
Registry dates
- Enumerated
- 2008-04-24
- Last updated
- 2009-11-19
Frequently asked questions
- What is Core Prosthetics Lab, Inc.'s NPI number?
- Core Prosthetics Lab, Inc.'s National Provider Identifier (NPI) is 1720253305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Core Prosthetics Lab, Inc.?
- Core Prosthetics Lab, Inc. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Core Prosthetics Lab, Inc. located?
- Core Prosthetics Lab, Inc.'s practice location on file with NPPES is 29723 New Hub Dr Ste a, Sun City, CA 92586-6537.
- What is Core Prosthetics Lab, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Core Prosthetics Lab, Inc. is (951) 246-8888.
- Who is the authorized official for Core Prosthetics Lab, Inc.?
- The authorized official listed on Core Prosthetics Lab, Inc.'s NPPES record is Tuty Irianto, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Core Prosthetics Lab, Inc.'s NPI active?
- Yes — Core Prosthetics Lab, Inc.'s NPI (1720253305) is active in the NPPES registry as of the last update on 2009-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.