Individual
MARY HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.O.
Contact information
Practice address
11301 WILSHIRE BLVD., LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4763
Mailing address
19749 SCARLET MEADOW DR, SANTA CLARITA, CA 91321-1304
(661) 309-1264
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO737
CA
247200000X
Other Technician
CPO737
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222Z00000X
ORTHOTIST
CA
01
—
224P00000X
PROSTHETIST
CA
Enumeration date
11/01/2006
Last updated
09/11/2025
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