MEDICARE: SCURTI ORTHOTICS AND PROSTHETICS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1811752173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCURTI ORTHOTICS AND PROSTHETICS, LLC

Provider Business Mailing Address
First Line	:	10388 ROCKINGHAM DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2502
Country	:	US
Telephone Number	:	916-527-8395
Fax Number	:	530-390-5828

Provider Business Practice Location Address
First Line	:	10388 ROCKINGHAM DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2502
Country	:	US
Telephone Number	:	916-527-8395
Fax Number	:	530-390-5828

Authorized Official
Title or Position	:	OWNER, CP, CPED
Name	:	DAVID SCURTI
Credential	:	CP, CPED
Telephone Number	:	916-207-8893

Provider Enumeration Date	:	02/15/2024
Last Update Date	:	02/15/2024

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