Individual
CLAYTON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 SEAWIND, IRVINE, CA 92614-7066
(949) 285-4371
Mailing address
5 SEAWIND, IRVINE, CA 92614-7066
(949) 285-4371
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA 7850
CA
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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