Healthcare Provider Details

I. General information

NPI: 1447816129
Provider Name (Legal Business Name): GELEEZA JOY PINTOR IDOLYANTES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2019
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 CALIFORNIA ST RM 505
SAN FRANCISCO CA
94118-1507
US

IV. Provider business mailing address

3838 CALIFORNIA ST RM 505
SAN FRANCISCO CA
94118-1507
US

V. Phone/Fax

Practice location:
  • Phone: 415-751-4914
  • Fax: 415-751-1414
Mailing address:
  • Phone: 415-751-4914
  • Fax: 415-751-1414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA8480
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU3977
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: