Healthcare Provider Details

I. General information

NPI: 1548468614
Provider Name (Legal Business Name): DIMENSION PROSTHETICS & ORTHOTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33374 DOWE AVE
UNION CITY CA
94587-2034
US

IV. Provider business mailing address

33374 DOWE AVE
UNION CITY CA
94587-2034
US

V. Phone/Fax

Practice location:
  • Phone: 510-324-3400
  • Fax: 510-324-3401
Mailing address:
  • Phone: 510-324-3400
  • Fax: 510-324-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: HUONG THANH LUU
Title or Position: OWNER
Credential:
Phone: 510-324-3400