Individual
MR. LARRY RADFORD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROSTHETISTORTHOTIST
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
P.O. BOX 2365, GARDENA, CA 90247
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
RFOM0053
DE
224P00000X
Prosthetist
RFOM0053
DE
225000000X
Orthotic Fitter
RFOM0053
DE
Other
Enumeration date
11/30/2006
Last updated
09/11/2025
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