Healthcare Provider Details

I. General information

NPI: 1518241603
Provider Name (Legal Business Name): DAVID DANIEL EPTER AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2011
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 CALIFORNIA ST STE 1
SAN FRANCISCO CA
94115-2486
US

IV. Provider business mailing address

3150 CALIFORNIA ST STE 1
SAN FRANCISCO CA
94115-2486
US

V. Phone/Fax

Practice location:
  • Phone: 415-346-6886
  • Fax: 415-776-6892
Mailing address:
  • Phone: 415-346-6886
  • Fax: 415-776-6892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU2711
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: