Sean Leland Stellar, CPO
Orthotic Fitter in Pasadena, CA. Individual provider (NPI-1).
NPI number1477584787
StatusActive
Last updated in NPPESOct 22, 2008
Details
- NPI
- 1477584787
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sean Leland Stellar
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Oct 22, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225000000X | Orthotic Fitter | – | – | Yes |
Practice location
753 S Arroyo PkwySuite 2
Pasadena, CA 91105-3902
Phone 626-584-0805 · Fax 626-584-0806
Mailing address
753 S Arroyo PkwySuite 2
Pasadena, CA 91105-3902
Phone 626-584-0805 · Fax 626-584-0806
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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