Provider Demographics
NPI:1811752173
Name:SCURTI ORTHOTICS AND PROSTHETICS, LLC
Entity type:Organization
Organization Name:SCURTI ORTHOTICS AND PROSTHETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CP, CPED
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SCURTI
Authorized Official - Suffix:
Authorized Official - Credentials:CP, CPED
Authorized Official - Phone:916-207-8893
Mailing Address - Street 1:10388 ROCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2502
Mailing Address - Country:US
Mailing Address - Phone:916-527-8395
Mailing Address - Fax:530-390-5828
Practice Address - Street 1:10388 ROCKINGHAM DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2502
Practice Address - Country:US
Practice Address - Phone:916-527-8395
Practice Address - Fax:530-390-5828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier