Individual
CHARLES DUBOURDIEU III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
7601 IMPERIAL HWY, 900 ANNEX A, DOWNEY, CA 90242-3456
(562) 401-8115
(562) 803-5569
Mailing address
7601 IMPERIAL HWY, 900 ANNEX A, DOWNEY, CA 90242-3456
(562) 401-8115
(562) 803-5569
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO 1803
CA
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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