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Shane Richard Wurdeman, CP
Prosthetist in Los Angeles, California
NPI 1497911572

Shane Richard Wurdeman is a Prosthetist based in Santa Monica, CA. Shane Richard Wurdeman practices in Los Angeles, CA and has the professional credentials of CP. The NPI Number for Shane Richard Wurdeman is 1497911572 and holds a License No. CP003610 (California).

The current practice location address for Shane Richard Wurdeman is 11301 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-478-3711.

Location: 11301 Wilshire Blvd, Los Angeles, CA, 90404-1744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497911572
Provider Name
Shane Richard Wurdeman
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
11301 Wilshire Blvd, Los Angeles, CA, 90404-1744
Phone Number
310-478-3711
Fax Number
Provider Enumeration Date
07/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
310-478-3711
Fax Number
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
310-478-3711
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CP003610 (California)
Definition
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.
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