MEDICARE: AIMEI DENG CPED/ORTHOTIC FITTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225000000X	Orthotic Fitter	CFO05699	CA
2	224L00000X	Pedorthist	CPED3872	CA

General Provider Information

NPI Number	:	1629959978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEI DENG CPED/ORTHOTIC FITTER

Provider Business Mailing Address
First Line	:	3361 RUTH ELAINE DR
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3038
Country	:	US
Telephone Number	:	626-400-7169
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 S SINCLAIR ST
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92806-5933
Country	:	US
Telephone Number	:	714-443-0709
Fax Number	:	949-474-4460

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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