| |
5525 Etiwanda Ave Ste 201, Tarzana, CA 91356-6135 | |
(818) 578-5093 | |
(888) 405-0429 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 5525 Etiwanda Ave Ste 201, Tarzana, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154564300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AU2631 (California) | Primary |
Provider Name | Jonathan C Leiterman |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1093897662 PECOS PAC ID: 2365595238 Enrollment ID: I20090727000093 |
Mailing Address | Practice Location Address |
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5525 Etiwanda Ave Ste 201, Tarzana, CA 91356-6135 Ph: (818) 578-5093 | 5525 Etiwanda Ave Ste 201, Tarzana, CA 91356-6135 Ph: (818) 578-5093 |
Universal Hearing Care Inc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5525 Etiwanda Ave Ste 309, Tarzana, CA 91356 Phone: 818-345-3200 |