Dirk Frankenberger, CPO

Individual provider Active NPI Prosthetist · Castro Valley, CA

NPI 1366092892 · NPPES record last updated Sep 17, 2019

Key facts

NPI
1366092892
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetist 224P00000X
Practice address
19845 Lake Chabot Rd Ste 302
Castro Valley, CA 94546-4055
Phone
(510) 537-1210
Fax
(510) 537-1082
NPI assigned
Sep 17, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X CA Yes

Addresses

Primary practice location

19845 Lake Chabot Rd Ste 302
Castro Valley, CA 94546-4055

Mailing address

19845 Lake Chabot Rd Ste 302
Castro Valley, CA 94546-4055
Phone (510) 537-1210

Other providers in Castro Valley, CA

All providers in Castro Valley, CA · Prosthetist in California

Sources for this page

Verify at the official NPI Registry.