Healthcare Provider Details

I. General information

NPI: 1760270227
Provider Name (Legal Business Name): HEALTHHUB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 FLOCCHINI CIR STE 400
LINCOLN CA
95648-1777
US

IV. Provider business mailing address

110 FLOCCHINI CIR STE 400
LINCOLN CA
95648-1777
US

V. Phone/Fax

Practice location:
  • Phone: 916-880-8480
  • Fax:
Mailing address:
  • Phone: 916-880-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DANNY KWON
Title or Position: CEO
Credential: JD
Phone: 916-880-8480