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Dr. Khrishunda Upshaw, TRICHOLOGIST/HHP
Customized Equipment (DME) in Long Beach, California
NPI 1164016978

Khrishunda Upshaw is a Customized Equipment (DME) based in Hacienda Heights, CA and is specialized in Customized Equipment. Khrishunda Upshaw practices in Long Beach, CA and has the professional credentials of TRICHOLOGIST/HHP. The NPI Number for Khrishunda Upshaw is 1164016978 and holds a License No. 228944003 (California).

The current practice location address for Khrishunda Upshaw is 2700 Temple Ave Ste D, Long Beach, CA and can be reached out via phone at 310-754-5297.

Location: 2700 Temple Ave Ste D, Long Beach, CA, 91745-6647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164016978
Provider Name
Khrishunda Upshaw
Credential
TRICHOLOGIST/HHP
Provider Entity Type
Individual
Gender
Female
Address
2700 Temple Ave Ste D, Long Beach, CA, 91745-6647
Phone Number
310-754-5297
Fax Number
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 Temple Ave Ste D
City
Long Beach
State
California
Zip
90806-2280
Phone Number
310-754-5297
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Temple Ave Ste D
City
Long Beach
State
California
Zip
90806-2280
Phone Number
310-754-5297
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
228944003 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
228944003 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
228944003 (California)
Definition
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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