Sean, Peter

Sean, Peter is an individual health care provider with primary practice located at 1830 W Olympic Blvd Ste 123 , Los Angeles CA 90006-3734. He recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Sean, Peter can be contacted via phone (213) 383-9212.

Contact Information

Primary practice address
1830 W Olympic Blvd Ste 123 Los Angeles CA 90006-3734
Phone: (213) 383-9212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1326698937
LBN Legal business name Sean, Peter
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2019
Last updated Sep 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326698937 NPPES
California MEDICAID GXC000070

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