Healthcare Provider Details

I. General information

NPI: 1154611499
Provider Name (Legal Business Name): DANIEL S DURAN A.U.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 11/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8761
US

IV. Provider business mailing address

6101 N FRESNO ST STE 102
FRESNO CA
93710-8606
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-6801
  • Fax: 559-353-6950
Mailing address:
  • Phone: 559-432-2650
  • Fax: 559-435-4618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU2775
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU2775
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: