Individual
MR. JONATHAN C LEITERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SC.D
Contact information
Practice address
5525 ETIWANDA AVE STE 201, TARZANA, CA 91356-6135
(888) 054-2247
(888) 405-0429
Mailing address
5525 ETIWANDA AVE STE 201, TARZANA, CA 91356-6135
(818) 578-5093
(888) 405-0429
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
41YA00071500
NJ
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU2631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154564300
—
CA
Enumeration date
10/20/2006
Last updated
09/19/2021
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