Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Richard Wurdeman, CP

Individual provider Prosthetist · NPI 1497911572

Shane Richard Wurdeman, CP is a Prosthetist in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

11301 Wilshire Blvd Bldg 304
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CP003610 (CA)

Record details

NPI number1497911572
Entity typeIndividual (Type 1)
GenderMale
Credentials CP
Sole proprietorNo
NPI enumeratedJuly 29, 2008
Last updated in NPPESJuly 29, 2008

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