National Provider Identifier Database

DARRECA LEFTRIDGE
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

DARRECA LEFTRIDGE
4514 BANCROFT ST APT 16
SAN DIEGO, CA92116-4455
Phone: 213-207-6546
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for DARRECA LEFTRIDGE

NPI Number 1033855085
Credentials
Entity Individual
Enumeration date 05/11/2022
Last updated 05/11/2022 - About 4 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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