MEDICARE: ASHLEY SEEFELD CPO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	222Z00000X	Orthotist
2	224P00000X	Prosthetist
3	225000000X	Orthotic Fitter

General Provider Information

NPI Number	:	1154684983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY SEEFELD CPO

Provider Business Mailing Address
First Line	:	2477 CHESTNUT ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-2505
Country	:	US
Telephone Number	:	415-921-7040
Fax Number	:	415-921-7041

Provider Business Practice Location Address
First Line	:	2477 CHESTNUT ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-2505
Country	:	US
Telephone Number	:	415-921-7040
Fax Number	:	415-921-7041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2012
Last Update Date	:	06/18/2012

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Directions to “ ASHLEY SEEFELD CPO” Practice Location

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