Provider Demographics
NPI:1083299689
Name:DOBU LIFE TECH USA, INC
Entity Type:Organization
Organization Name:DOBU LIFE TECH USA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:US OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HYUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-639-3330
Mailing Address - Street 1:3600 WILSHIRE BLVD STE 930
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2613
Mailing Address - Country:US
Mailing Address - Phone:213-387-1234
Mailing Address - Fax:213-900-0053
Practice Address - Street 1:3600 WILSHIRE BLVD STE 930
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2613
Practice Address - Country:US
Practice Address - Phone:213-387-1234
Practice Address - Fax:213-900-0053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies