IndividualActive
Gary Bolin, CO
NPI 1831267400 · Orthotist · Foothill Ranch, CA
Provider details
- NPI number
- 1831267400
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CO
- Sex
- Male
- Sole proprietor
- Yes
- License
- CO3161
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
74 Fairfield
Foothill Ranch, CA 92610-1855
Phone: (949) 716-9091
Fax: (949) 916-9245
Approximate (ZIP-level) locationGet directions
Mailing address
74 Fairfield
Foothill Ranch, CA 92610-1855
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.