Organization
LEDU'S PEDORTHIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO D LOPEZ (OWNER)
(760) 352-3336
Entity
Organization
Contact information
Practice address
215 S 5TH ST, EL CENTRO, CA 92243-3012
(760) 352-3336
(760) 352-3271
Mailing address
215 S 5TH ST, EL CENTRO, CA 92243-3012
(760) 352-3336
(760) 352-3271
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
45656
CA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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