Healthcare Provider Details

I. General information

NPI: 1386908408
Provider Name (Legal Business Name): VERCI JEWELRY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8958 CORBIN AVE SUITE 114
NORTHRIDGE CA
91324
US

IV. Provider business mailing address

8958 CORBIN AVE
NORTHRIDGE CA
91324
US

V. Phone/Fax

Practice location:
  • Phone: 818-280-5401
  • Fax: 818-280-5406
Mailing address:
  • Phone: 818-280-5401
  • Fax: 818-280-5406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberHA4051
License Number StateCA

VIII. Authorized Official

Name: RAQUEL NAVA
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 818-280-5401