SUZANNE MARY ECKHARDT


Address: 637 Lucas Ave, Los Angeles, CA 90017-1912
Phone: 2134825226

SUZANNE MARY ECKHARDT (NPI# 1316134802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316134802
Entity Type Individual
Full Name SUZANNE MARY ECKHARDT
Credential C.P.
Practice Address 637 Lucas Ave
Los Angeles
CA 90017-1912
Practice Telephone 2134825226
Practice Fax Number 2134825040
Mailing Telephone 2134825226
Mailing Fax Number 2134825040
Enumeration Date 2007-09-27
Last Update Date 2007-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist CP001228 DE Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA GFC000250 05

Office Location

Street Address 637 LUCAS AVE
City LOS ANGELES
State CA
Zip Code 90017-1912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225062706 John T. Yong Internal Medicine 637 Lucas Ave, Station One, Los Angeles, CA 90017-1912 2006-07-10
1417351776 Prisca Ho Nutritionist 637 Lucas Ave, Los Angeles, CA 90017-1997 2014-10-15
1629498548 Coralyn Andrestaylor Nutritionist 637 Lucas Ave, Los Angeles, CA 90017-1997 2014-04-17
1073930079 David Huang Md Radiation Oncologist Inc. Radiology 637 Lucas Ave, Los Angeles, CA 90017-1997 2014-03-27
1275962656 Lady Josae Becerra Genetic Counselor, MS 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1997 2013-11-05
1134558794 Melissa Randall Genetic Counselor, MS 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1997 2013-11-04
1922305036 Linda S. Cowan, Md A Professional Corporation Medical Genetics 637 Lucas Ave, #205, Los Angeles, CA 90017-1912 2011-02-25
1083917736 Deane B. Jacques, M.d., Inc. Clinic/Center 637 Lucas Ave, Ste. 501, Los Angeles, CA 90017-1912 2010-12-17
1093017568 Miriam Rebecca Cohen Gross Dietitian, Registered 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1912 2010-12-03
1700079944 Sarah Kiyomi Yamaguchi Obstetrics & Gynecology 637 Lucas Ave, Suite 200, Los Angeles, CA 90017-1912 2007-08-21
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NPI Name Taxonomy Address Enumeration
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1689228223 Marycarmen Beltran Student in an Organized Health Care Education/Training Program 333 S. Beaudry Ave., Los Angeles, CA 90017 2019-08-01
1639661465 Robin B Horowitz Counselor 333 South Beaudry Avenue, Los Angeles, CA 90017 2018-06-06
1710483797 Rose Jadidian Pharmacist 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 2018-03-30
1417469875 Marykarla Gallegos Case Manager/Care Coordinator 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 2017-10-25
1134646516 Maria Salas Rehabilitation Practitioner 333 S Beaudry Ave., Los Angeles, CA 90017 2017-08-25
1932638202 Butterfli Technologies Inc Transportation Broker 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 2017-06-08
1316493125 Phamily Love Foundation Community/Behavioral Health 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 2016-08-31
1215392188 Jessica R. Garcia-hillard Specialist/Technologist 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 2015-12-21
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy 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.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831733948 Shayla R Williams Prosthetist 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 2019-10-31
1255815155 Mary Alice Swiney Prosthetist 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 2018-09-18
1114013158 Los Angeles Institute for Prosthetics and Orthotics Inc Prosthetist 443 1/2 So Atlantic Blvd, Los Angeles, CA 90022-2617 2006-10-05
1033736848 Sue Sean Prosthetist 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 2020-06-26
1770082570 Matthew Mills Prosthetist 6300 Wilshire Blvd, Los Angeles, CA 90048-5204 2018-02-07
1841744034 David Craft Prosthetist 3160 Geneva St, Los Angeles, CA 90020-1117 2016-08-05
1497911572 Shane Richard Wurdeman Prosthetist 11301 Wilshire Blvd, Bldg 304, Los Angeles, CA 90073-1003 2008-07-29

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NPI Name Taxonomy Address Enumeration
1134752942 Elizabeth Olajide Prosthetist 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 2020-02-20
1578111290 Charmie Johnson Prosthetist 7309 University Ave Ste B, La Mesa, CA 91942-0525 2019-08-27
1790341915 Gloria Tatiana Dixon Prosthetist 32366 Evening Primrose Trl, Campo, CA 91906-3162 2019-05-13
1629633219 Duana Robinson Prosthetist 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 2019-05-08
1366908741 Alicia Lander Prosthetist 5252 Foothill Blvd, Oakland, CA 94601-5438 2019-02-11
1154895944 Keyonia K Paramore Prosthetist 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 2019-01-15
1629544499 Alexander Hetherington Prosthetist 1500 Owens St Ste 115, San Francisco, CA 94158-2338 2018-10-19
1285113951 Janet Miller Prosthetist 6662 Charlene Ave, San Diego, CA 92114 2018-08-13
1710482807 John Vetter Prosthetist 5110 Whitsett Ave, Valley Village, CA 91607-3016 2018-03-29
1144728569 Shiaw Wen Wu Prosthetist 1009 N Orange Ave, Azusa, CA 91702-1920 2018-01-31
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Competitor

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City LOS ANGELES
Zip Code 90017

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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