Individual
SUZANNE MARY ECKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.
Contact information
Practice address
637 LUCAS AVE, LOS ANGELES, CA 90017-1912
(213) 482-5226
(213) 482-5040
Mailing address
637 LUCAS AVE, LOS ANGELES, CA 90017-1912
(213) 482-5226
(213) 482-5040
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP001228
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GFC000250
—
CA
Enumeration date
09/27/2007
Last updated
09/27/2007
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