Healthcare Provider Details

I. General information

NPI: 1063630614
Provider Name (Legal Business Name): FJS HEARING PROFESSIONALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19083 BEAR VALLEY RD # 3
APPLE VALLEY CA
92308-2719
US

IV. Provider business mailing address

PO BOX 369
MIRA LOMA CA
91752-0369
US

V. Phone/Fax

Practice location:
  • Phone: 760-240-5700
  • Fax: 760-240-7900
Mailing address:
  • Phone: 909-986-9635
  • Fax: 909-391-5873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: DIANA NEAL
Title or Position: OFFICE ADMIN.
Credential:
Phone: 909-225-4522