Individual
JENNIFER A HATZKILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
62 CORPORATE PARK, SUITE 112, IRVINE, CA 92606-3122
(949) 250-9695
(949) 250-9698
Mailing address
5192 CHABLIS CIR, IRVINE, CA 92604-3168
(949) 250-9695
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0012350
—
CA
01
—
AU1235
AUDIOLOGY STATE LICENCE
CA
01
—
HA4149
HEARING AID DISPENSING
CA
Enumeration date
07/04/2006
Last updated
07/09/2007
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