Individual
MR. PETER SEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1830 W OLYMPIC BLVD STE 123, LOS ANGELES, CA 90006-3734
(213) 383-9212
Mailing address
1830 W OLYMPIC BLVD STE 123, LOS ANGELES, CA 90006-3734
(213) 383-9212
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224900000X
Mastectomy Fitter
—
—
224L00000X
Pedorthist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000070
—
CA
Enumeration date
09/16/2019
Last updated
09/16/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us