Organization
YOSHIO J FURUYA MACCCA AUD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOSHIO JIMMY FURUYA MA (OWNER PRESIDENT)
(626) 795-0679
Entity
Organization
Contact information
Practice address
960 E GREEN ST, SUITE 101, PASADENA, CA 91106-2401
(626) 795-0679
(626) 795-5822
Mailing address
960 E GREEN STREET, SUITE 101, PASADENA, CA 91106-2401
(626) 795-0679
(626) 795-5822
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU269
CA
332S00000X
Hearing Aid Equipment
HA1097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA1097
LICENSE FOR HEARING AID D
CA
05
—
ZZZ71175Z
—
CA
Enumeration date
11/21/2006
Last updated
09/20/2007
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