Healthcare Provider Details

I. General information

NPI: 1699334482
Provider Name (Legal Business Name): FJS HEARING PROFESSIONALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 06/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10351 MAGNOLIA AVE
RIVERSIDE CA
92505
US

IV. Provider business mailing address

PO BOX 369
MIRA LOMA CA
91752
US

V. Phone/Fax

Practice location:
  • Phone: 951-354-2467
  • Fax: 951-354-2467
Mailing address:
  • Phone: 909-247-1120
  • Fax: 909-247-1120

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: JESSICA ROY
Title or Position: PATIENT CARE COORDINATOR
Credential:
Phone: 909-247-1120