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LEAHY PROSTHETICS & ORTHOTICS INC NPI 1578596128


NPI Information

NPI: 1578596128
Provider Name: LEAHY PROSTHETICS & ORTHOTICS INC
Classification: Prosthetist - 224P00000X
Entity Type: Organization
Address:
630 FREDERICK ST
SANTA CRUZ, CA
ZIP 95062
Phone: (831) 425-5900
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LEAHY PROSTHETICS & ORTHOTICS INC is a prosthetist in Santa Cruz, CA. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. LEAHY PROSTHETICS & ORTHOTICS INC NPI is 1578596128. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

630 FREDERICK ST
SANTA CRUZ, CA
ZIP 95062-203
Phone: (831) 425-5900
Fax: (831) 425-0488

The provider's authorized official is Kevin M Leahy .
The authorized official title is Ceo and has the following contact phone number (831) 425-5900.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224P00000XProsthetistCP2178CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1XB0021780OTHERCENTRAL COAST ALLIANCE FO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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