Healthcare Provider Details

I. General information

NPI: 1124667910
Provider Name (Legal Business Name): RYHAC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2019
Last Update Date: 12/27/2019
Certification Date: 12/27/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74059 HIGHWAY 111
PALM DESERT CA
92260-4105
US

IV. Provider business mailing address

74059 HIGHWAY 111
PALM DESERT CA
92260-4105
US

V. Phone/Fax

Practice location:
  • Phone: 760-340-2146
  • Fax: 760-340-2148
Mailing address:
  • Phone: 760-340-2146
  • Fax: 760-340-2148

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: TALLEY SAEKAN
Title or Position: MANAGER
Credential:
Phone: 760-340-2146