=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538983796
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DUBLIN HELPING HAND INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/13/2024
-----------------------------------------------------
Last Update Date | 11/13/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25340 MISSION BLVD
-----------------------------------------------------
City | HAYWARD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94544-2521
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-340-5217
-----------------------------------------------------
Fax | 510-477-2474
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 39899 BALENTINE DR STE 200
-----------------------------------------------------
City | NEWARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94560-5361
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-340-5217
-----------------------------------------------------
Fax | 510-477-2474
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. ANAR RUSTAMOV
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 510-340-5217
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA1903X
-----------------------------------------------------
Taxonomy Name | Ambulatory Surgical Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------