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Core Prosthetics Lab, Inc.

Prosthetic/Orthotic Supplier in Sun City, CA · enumerated 2008 · authorized official Tuty Irianto, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720253305

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Registry record

Entity type Organization (Type 2)
Legal business name Core Prosthetics Lab, Inc.
Practice address 29723 New Hub Dr Ste A, Sun City, CA, 92586
Fax (951) 246-8675
Enumeration date Apr 24, 2008
Last updated in NPPES Nov 19, 2009

Taxonomy & classification

335E00000X Prosthetic/Orthotic Supplier Suppliers · License CFM01267 (DE) Secondary
335E00000X Prosthetic/Orthotic Supplier Suppliers · License P1115 (DE) Primary

Authorized official

Name Tuty Irianto
Title Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-11-19. Verify at npiregistry.cms.hhs.gov.
Where is Core Prosthetics Lab, Inc. located?
The practice location on file with NPPES is in Sun City, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-19.