Individual
MR. DOUGLAS JOEL FENDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC HIS
Contact information
Practice address
13112 E HADLEY ST, SUITE 108, WHITTIER, CA 90601-4583
(562) 696-5054
(562) 696-5054
Mailing address
13112 E HADLEY ST, SUITE 108, WHITTIER, CA 90601-4583
(562) 696-5054
(562) 696-5054
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA2291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA2291
INSURANCE FORMS
CA
05
—
HAOO22910
—
CA
Enumeration date
04/12/2007
Last updated
07/08/2007
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