Organization
LEGACY PROSTHETICS & ORTHOTICS
Active
Other names
Coachella Valley Prosthetics and Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE R LEDEZMA CPOA (VICEPRESIDENT)
(760) 216-3009
Entity
Organization
Contact information
Practice address
75150 SHERYL AVE STE A, PALM DESERT, CA 92211-5118
(760) 345-4779
(760) 772-3904
Mailing address
75150 SHERYL AVE STE A, PALM DESERT, CA 92211-5118
(760) 345-4779
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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