Organization
DAYSTAR HEARING AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOROUSH EGHTERAFI (OWNER)
(562) 728-4324
Entity
Organization
Contact information
Practice address
3290 E GAGE AVE, HUNTINGTON PARK, CA 90255
(323) 589-8383
Mailing address
3290 E GAGE AVE, HUNTINGTON PARK, CA 90255
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
HA7566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992016463
—
CA
Enumeration date
01/15/2014
Last updated
01/15/2014
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