Healthcare Provider Details

I. General information

NPI: 1083026983
Provider Name (Legal Business Name): ERIC MAYER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 05/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 POST ST STE 500
SAN FRANCISCO CA
94102-1401
US

IV. Provider business mailing address

490 POST ST STE 500
SAN FRANCISCO CA
94102-1401
US

V. Phone/Fax

Practice location:
  • Phone: 415-654-5982
  • Fax:
Mailing address:
  • Phone: 415-654-5982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHT 9119
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: