Healthcare Provider Details

I. General information

NPI: 1255466405
Provider Name (Legal Business Name): LORI ESPOSITO B.A., NBC-HIS, HAD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 S TUSTIN ST
ORANGE CA
92866-2502
US

IV. Provider business mailing address

4702 ROXBURY DR
IRVINE CA
92604-2323
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-5077
  • Fax: 714-460-6733
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHA3956
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHA3956
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA3956
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: