Individual
PETER PAUL VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2031 W ALAMEDA AVE STE 340, BURBANK, CA 91506-2960
(818) 736-5023
Mailing address
417 ALLEN AVE, GLENDALE, CA 91201-2503
(818) 281-0341
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
8611
CA
Other
Enumeration date
03/02/2020
Last updated
03/20/2020
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