Individual
MR. BOGART JOEL MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEARING AID DISPENSE
Contact information
Practice address
7635 1/2 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-6043
(323) 588-0742
(323) 588-6805
Mailing address
7635 1/2 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-6043
(323) 588-0742
(323) 588-6805
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA 3004
CA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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