Individual
EVE SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
11301 WILSHIRE BLVD, BLDG. 304-PROSTHETICS, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD, BLDG. 304-PROSTHETICS, LOS ANGELES, CA 90073-1003
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP2627
ABC ORTHOTICS PROSTHETIC
—
Enumeration date
09/25/2007
Last updated
09/25/2007
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