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30030 Town Center Dr, Laguna Niguel, CA 92677-2046 | |
(309) 825-3612 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 30030 Town Center Dr, Laguna Niguel, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1942921218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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231H00000X | Audiologist | (* (Not Available)) | Primary |
Provider Name | Nisreen Alkhayer |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1053712828 PECOS PAC ID: 2860716388 Enrollment ID: I20150109001777 |
Mailing Address | Practice Location Address |
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30030 Town Center Dr, Laguna Niguel, CA 92677-2046 Ph: (309) 825-3612 | 30030 Town Center Dr, Laguna Niguel, CA 92677-2046 Ph: (309) 825-3612 |