| |
7024 Airway Ave, Suite D, Yucca Valley, CA 92284-3069 | |
(760) 228-1381 | |
(760) 228-1481 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 7024 Airway Ave, Yucca Valley, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326192980 | NPI | - | NPPES |
612095900 | Other | CA | DEPARTMENT OF LABOR |
AU0018640 | Medicaid | CA | |
ZZZ62950Z, ZZZ62951Z | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Provider Name | Diane E Williams |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1932128691 PECOS PAC ID: 8224930995 Enrollment ID: I20090127000470 |
Mailing Address | Practice Location Address |
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7024 Airway Ave, Suite D, Yucca Valley, CA 92284-3069 Ph: (760) 228-1381 | 7024 Airway Ave, Suite D, Yucca Valley, CA 92284-3069 Ph: (760) 228-1381 |
Mrs. Diane Elizabeth Williams, AU. D. Audiologist Medicare: May Accept Medicare Assignments Practice Location: 7024 Airway Ave, Suite D, Yucca Valley, CA 92284 Phone: 760-228-1381 Fax: 760-228-1481 |