Individual
MRS. LINDA TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1135 S SUNSET AVE STE 319, WEST COVINA, CA 91790-3938
(626) 856-1905
Mailing address
19402 FOXDALE CIR, HUNTINGTON BEACH, CA 92648-6614
(714) 916-0223
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174647077
—
CA
05
—
1246137
—
CA
05
—
AU0017331
—
CA
Enumeration date
03/17/2007
Last updated
07/21/2020
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