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Jason Todd Friedman, CPO
Prosthetic/Orthotic Supplier in Poway, California
NPI 1881870285

Jason Todd Friedman is a Prosthetic/Orthotic Supplier based in Poway, CA. Jason Todd Friedman practices in Poway, CA and has the professional credentials of CPO. The NPI Number for Jason Todd Friedman is 1881870285 and holds a License No. CPO1661 (California).

The current practice location address for Jason Todd Friedman is 15644 Pomerado Rd, Poway, CA and can be reached out via phone at 858-613-0958 and via fax at 858-613-0959.

Location: 15644 Pomerado Rd, Poway, CA, 92064-2400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881870285
Provider Name
Jason Todd Friedman
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
15644 Pomerado Rd, Poway, CA, 92064-2400
Phone Number
858-613-0958
Fax Number
858-613-0959
Provider Enumeration Date
01/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GXC000850 05 CA
institution
Provider Business Practice Location Address Details
Address
15644 Pomerado Rd
City
Poway
State
California
Zip
92064-2400
Phone Number
858-613-0958
Fax Number
858-613-0959
person
Provider Business Mailing Address Details
Address
15644 Pomerado Rd
City
Poway
State
California
Zip
92064-2400
Phone Number
858-613-0958
Fax Number
858-613-0959
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
CPO1661 (California)
Definition
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.
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