Organization
ELK GROVE HEARING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC PHILLIPS WHITE HIS (OWNER/DISPENSER)
(916) 627-1494
Entity
Organization
Contact information
Practice address
9300 W STOCKTON BLVD STE 103, ELK GROVE, CA 95758-8070
(916) 627-1494
Mailing address
9300 W STOCKTON BLVD STE 103, ELK GROVE, CA 95758-8070
(916) 627-1494
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU2591
CA
237700000X
Hearing Instrument Specialist
HA7877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295154326
NPPES
—
01
—
1881844298
NPPES
—
Enumeration date
07/28/2015
Last updated
07/28/2015
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