# THE HAND & UPPER EXTREMITY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Hand & Upper Extremity Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215143375
- **Authorized official:** CRYSTAL JACK (OFFICE MANAGER)
- **Authorized official phone:** (805) 495-0516

## Contact information

- **Practice address:** 101 HODENCAMP RD STE 100, THOUSAND OAKS, CA 91360-5831
- **Practice address phone:** (805) 495-0516
- **Practice address fax:** (805) 381-9366
- **Mailing address:** 101 HODENCAMP RD STE 100, THOUSAND OAKS, CA 91360-5831
- **Mailing address phone:** (805) 495-0516
- **Mailing address fax:** (805) 381-9366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | ZZZ05909Z | CA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/22/2020