NPI 1518116730

Henriquez Delacruz

Practitioner Orthotic Fitter San Diego, CA

Practice location

Address: 3350 La Jolla Village Drive Prosthetic & Sensory AIDS Svc 664/121, San Diego, CA 92161
Phone: (858) 642-1152
Fax: (858) 642-1471

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1518116730
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2008
Record last updated: 11 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.