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Alpha Iscandari Sanusi, BOCPO
Prosthetist in Riverside, California
NPI 1710534821

Alpha Iscandari Sanusi is a Prosthetist based in Riverside, CA. Alpha Iscandari Sanusi practices in Riverside, CA and has the professional credentials of BOCPO. The NPI Number for Alpha Iscandari Sanusi is 1710534821 and holds a License No. C51502 (California).

The current practice location address for Alpha Iscandari Sanusi is 1760 Chicago Ave Ste L21, Riverside, CA and can be reached out via phone at 626-622-3359.

Location: 1760 Chicago Ave Ste L21, Riverside, CA, 92507-2326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710534821
Provider Name
Alpha Iscandari Sanusi
Credential
BOCPO
Provider Entity Type
Individual
Gender
Male
Address
1760 Chicago Ave Ste L21, Riverside, CA, 92507-2326
Phone Number
626-622-3359
Fax Number
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C51502 01 CA ORTHOTIST/PROSTHETIST CREDENTIAL
institution
Provider Business Practice Location Address Details
Address
1760 Chicago Ave Ste L21
City
Riverside
State
California
Zip
92507-2326
Phone Number
626-622-3359
Fax Number
person
Provider Business Mailing Address Details
Address
1760 Chicago Ave Ste L21
City
Riverside
State
California
Zip
92507-2326
Phone Number
626-622-3359
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
C51502 (California)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
C51502 (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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