Individual
MRS. ELLIN LOVELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
56970 YUCCA TRL, #102, YUCCA VALLEY, CA 92284-3753
(760) 365-0691
(760) 365-0692
Mailing address
56970 YUCCA TRL, #102, YUCCA VALLEY, CA 92284-3753
(760) 365-0691
(760) 365-0692
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA 1932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ45183Z
BS OF CALIFORNIA
CA
01
—
ZZZ71937Z
MEDI-CAL PROVIDER
CA
Enumeration date
10/12/2006
Last updated
07/08/2007
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