Healthcare Provider Details

I. General information

NPI: 1124227996
Provider Name (Legal Business Name): JEFFREY TIMOTHY ZEMRAK HEARING AID DISP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 F ST STE 100
BAKERSFIELD CA
93301-3844
US

IV. Provider business mailing address

2530 F ST STE 100
BAKERSFIELD CA
93301-3844
US

V. Phone/Fax

Practice location:
  • Phone: 661-633-2934
  • Fax: 661-633-2393
Mailing address:
  • Phone: 661-633-2934
  • Fax: 661-633-2393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHA7018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: