Individual provider · Type 1 NPI
Shendra Mathis
Prosthetic/Orthotic Supplier · Inglewood, CA
Practice location
897 Kincaid Ave
Inglewood, CA 90302-2005
Mailing address
11140 Jefferson Blvd Ste 4
Culver City, CA 90230-5522
Other practice locations
- 11140 Jefferson Blvd Ste 4, Culver City, CA 90230-5522 · (323) 384-2212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1184588147
Shendra Mathis's National Provider Identifier is 1184588147, issued on Dec 15, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Inglewood, CA. The record was last updated on Dec 15, 2025.