Individual provider · Type 1 NPI

Charles Dubourdieu Iii, CPO

Prosthetic/Orthotic Supplier · Downey, CA

NPI number 1619348109 Active

Practice location

7601 Imperial Hwy, 900 Annex A
Downey, CA 90242-3456

Call (562) 401-8115 Map

Fax (562) 803-5569

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XCPO 1803 (CA)

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1619348109

Charles Dubourdieu Iii, CPO's National Provider Identifier is 1619348109, issued on Oct 9, 2015. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Downey, CA. The record was last updated on Oct 9, 2015.