Healthcare Provider Details

I. General information

NPI: 1205839768
Provider Name (Legal Business Name): ROBERT-JAYSON COMMUNICATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 07/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 ALESSANDRO PL SUITE 230
PASADENA CA
91105-3149
US

IV. Provider business mailing address

PO BOX 50735
PASADENA CA
91115-0735
US

V. Phone/Fax

Practice location:
  • Phone: 626-796-9510
  • Fax: 626-796-9520
Mailing address:
  • Phone: 626-796-9510
  • Fax: 626-796-9520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU2060
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT J WEISSMAN
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 626-796-9510