Individual
KENT E WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
26726 CROWN VALLEY PKWY, #210, MISSION VIEJO, CA 92691-8006
(959) 364-4361
(949) 364-7124
Mailing address
26726 CROWN VALLEY PKWY, #210, MISSION VIEJO, CA 92691-8006
(959) 364-4361
(949) 364-7124
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
00461
IA
231H00000X
Audiologist
Primary
AU3093
CA
237600000X
Audiologist-Hearing Aid Fitter
00744
IA
237600000X
Audiologist-Hearing Aid Fitter
AU3093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262824
—
IA
Enumeration date
03/07/2007
Last updated
10/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us