MRS. CECELIA ROSE GREENE/PENDZICH CERTIFIED PERMANENT
NPI 1700357936
Mastectomy Fitter in La Jolla, CA

Q: What is Cecelia Greene/pendzich's NPI number?

The NPI number for Cecelia Greene/pendzich is 1700357936. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Q: What is Cecelia Greene/pendzich's specialty?

The primary specialty registered for this NPI is Mastectomy Fitter with taxonomy code 224900000X.

Active since December 16, 2018

7760 FAY AVE, SUITE M., LA JOLLA, CA 92037(858) 230-2340 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Cecelia Rose Greene/pendzich Certified Permanent NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CECELIA ROSE GREENE/PENDZICH CERTIFIED PERMANENT (NPI 1700357936) is an individual mastectomy fitter provider in La Jolla, California and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1700357936

Entity TypeIndividualFemale

Primary Taxonomy224900000X

Provider Legal NameMRS. CECELIA ROSE GREENE/PENDZICHCredential: CERTIFIED PERMANENT

Location Address7760 FAY AVE, SUITE M.La Jolla, CA 92037

Mailing Address7760 Fay Ave, Suite M.La Jolla, CA 92037 · (858) 230-2340

Phone(858) 230-2340

Sole ProprietorYes

Enumeration DateDecember 16, 2018

✔ NPI 1700357936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMastectomy FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224900000X

Definition

An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.

7760 FAY AVE, SUITE M., La Jolla, CA 92037

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cecelia Greene/pendzich's NPI number?

The NPI number for Cecelia Greene/pendzich is 1700357936. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Cecelia Greene/pendzich located?

Cecelia Greene/pendzich practices at 7760 Fay Ave, Suite M., La Jolla, CA 92037. The listed phone number is (858) 230-2340.

What is Cecelia Greene/pendzich's specialty?

The primary specialty registered for this NPI is Mastectomy Fitter with taxonomy code 224900000X.

When was this NPI record last updated?

The NPPES record for Cecelia Greene/pendzich was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.