Healthcare Provider Details

I. General information

NPI: 1629959978
Provider Name (Legal Business Name): AIMEI DENG CPED/ORTHOTIC FITTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 S SINCLAIR ST
ANAHEIM CA
92806-5933
US

IV. Provider business mailing address

3361 RUTH ELAINE DR
LOS ALAMITOS CA
90720-3038
US

V. Phone/Fax

Practice location:
  • Phone: 714-443-0709
  • Fax: 949-474-4460
Mailing address:
  • Phone: 626-400-7169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberCFO05699
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code224L00000X
TaxonomyPedorthist
License NumberCPED3872
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: