Ledus Pedorthic Services

LBN: Roberto D Lopez
Ledus Pedorthic Services is an health care organization with primary practice located at 496 W Main St , El Centro CA 92243-3019. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Roberto D Lopez can be contacted via phone (760) 352-3336, or through Lopez, Roberto Daniel via phone (760) 352-3336.

Contact Information

Primary practice address
496 W Main St El Centro CA 92243-3019
Fax: (760) 352-3271
Website:
Authorized official contact:
Name: Lopez, Roberto Daniel C. PED., CFO

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 45656 California
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1598937047
LBN Legal business name Roberto D Lopez
DBA Doing business as Ledus Pedorthic Services
Authorized official Lopez, Roberto Daniel C. PED., CFO
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Jun 21st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598937047 NPPES
California MEDICAID 1417031063

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