| |
200 Jose Figueres Ave Ste 280, San Jose, CA 95116-1555 | |
(408) 937-8900 | |
(408) 937-8902 |
Full Name | |
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Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 200 Jose Figueres Ave Ste 280, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134218332 | NPI | - | NPPES |
AU0016610 | Medicaid | CA | |
AU0016611 | Medicaid | CA |
Provider Name | Nobuko Mizushima Ito |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1700930393 PECOS PAC ID: 0143287292 Enrollment ID: I20050613001053 |
Provider Name | Sally H Allen |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1104946607 PECOS PAC ID: 8820268634 Enrollment ID: I20110906000537 |
Provider Name | Lauren A Jones |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1205350303 PECOS PAC ID: 9133487432 Enrollment ID: I20171214000843 |
Provider Name | Johnna A Tanji |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1225539422 PECOS PAC ID: 5193077329 Enrollment ID: I20181016002015 |
Mailing Address | Practice Location Address |
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2010 El Camino Real Ste 723, Santa Clara, CA 95050-4051 Ph: (408) 891-1476 | 200 Jose Figueres Ave Ste 280, San Jose, CA 95116-1555 Ph: (408) 937-8900 |