Organization
MENIFEE HEARING AID LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY LEE JESTER HIS (HEARING AID SPECIALIST)
(951) 246-8229
Entity
Organization
Contact information
Practice address
26010 MCCALL BLVD, SUITE G, MENIFEE, CA 92586-1983
(951) 246-8229
(951) 246-8278
Mailing address
26010 MCCALL BLVD, SUITE G, MENIFEE, CA 92586-1983
(951) 246-8229
(951) 246-8278
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
HA1572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ80008Z
STATE OF CA
CA
Enumeration date
02/11/2011
Last updated
04/15/2011
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