Individual
MR. MICAH CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
637 LUCAS AVE STE 609, LOS ANGELES, CA 90017-1912
(213) 482-5226
(213) 482-5040
Mailing address
19115 TILLMAN AVE, CARSON, CA 90746-2426
(213) 482-5226
(213) 482-5040
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO02283
VA
224P00000X
Prosthetist
CPO02283
VA
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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