Individual
RUDY B. PARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
5837A UPLANDER WAY, CULVER CITY, CA 90230-6607
(310) 348-9090
(310) 348-9099
Mailing address
5837A UPLANDER WAY, CULVER CITY, CA 90230-6607
(310) 348-9090
(310) 348-9099
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO02856
CA
224P00000X
Prosthetist
CPO02856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720396690
—
CA
Enumeration date
11/19/2018
Last updated
08/20/2019
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