Ledu'S Pedorthic Services

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

45656 Issued in CA

Legal business name

LEDU'S PEDORTHIC SERVICES

Practice address

215 S 5TH St
El Centro, CA 92243-3012

Phone

(760) 352-3336

Fax

(760) 352-3271

NPI assigned

Sep 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roberto D LopezNPI 1417031063

Title

Owner

Phone

(760) 352-3336

Specialties & licenses 1

Addresses

Tax ID family

Roberto D Lopez2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roberto D Lopez

  • Durable Medical Equipment & Medical Supplies
  • El Centro, CA
  • NPI 1598937047
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberto Daniel Lopez

  • Customized Equipment (DME)
  • El Centro, CA
  • NPI 1417031063
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1184819013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S 5TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433012",
            "telephone_number": "760-352-3336",
            "fax_number": "760-352-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S 5TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433012",
            "telephone_number": "760-352-3336",
            "fax_number": "760-352-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDU'S PEDORTHIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-352-3336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "45656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leading Behavioral Change LLC
• Leana Leal
• Alan Leavens, PHD
• Elizabeth Lechuga
• Nancy Ledon, LMFT
• James W Lee, M.D.
• Legacy MD Medical Group Inc
• Deisy Herrera Lemus
• Martin Lemus, BCABA
• Janice Lenderman

• Customized Equipment (DME) in El Centro, CA
• Providers in El Centro, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.