| |
410 Estudillo Ave, San Leandro, CA 94577-4908 | |
(510) 483-5422 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 410 Estudillo Ave, San Leandro, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659493013 | NPI | - | NPPES |
AU0011380 | Medicaid | CA | |
AU0011380 | Other | CA | UNITED HEALTHCARE |
HA0025060 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AU1138 (California) | Primary |
237600000X | Audiologist-hearing Aid Fitter | HA2506 (California) | Primary |
Mailing Address | Practice Location Address |
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410 Estudillo Ave, San Leandro, CA 94577-4908 Ph: (510) 483-5422 | 410 Estudillo Ave, San Leandro, CA 94577-4908 Ph: (510) 483-5422 |