Individual
DUANE TODERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
3625 E THOUSAND OAKS BLVD, #138, WESTLAKE VILLAGE, CA 91362-3626
(805) 494-4788
(805) 494-1697
Mailing address
3625 E THOUSAND OAKS BLVD, #138, WESTLAKE VILLAGE, CA 91362-3626
(805) 494-4788
(805) 494-1697
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
001184
CA
224P00000X
Prosthetist
00184
CA
225000000X
Orthotic Fitter
00184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100637
STATE OF CALIFORNIA HOME
CA
Enumeration date
07/18/2007
Last updated
07/18/2007
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