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JASON TODD FRIEDMAN C.P.O. NPI 1881870285


NPI Information

NPI: 1881870285
Provider Name: JASON TODD FRIEDMAN, C.P.O.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
15644 POMERADO RD
SUITE 103
POWAY, CA
ZIP 92064
Phone: (858) 613-0958
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Jason Todd Friedman, C.P.O. is a prosthetic orthotic supplier in Poway, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Jason Todd Friedman, C.P.O. NPI is 1881870285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15644 POMERADO RD
SUITE 103
POWAY, CA
ZIP 92064-400
Phone: (858) 613-0958
Fax: (858) 613-0959

The enumeration date for this NPI number is 1/15/2008 and was last updated on 6/24/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierCPO1661CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GXC000850MEDICAIDCALIFORNIA

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: 5/5/2024

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