Healthcare Provider Details
I. General information
NPI: 1700940889
Provider Name (Legal Business Name): ECCORA, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1532 ANACAPA ST STE 4
SANTA BARBARA CA
93101-1949
US
IV. Provider business mailing address
1532 ANACAPA ST STE 4
SANTA BARBARA CA
93101-1949
US
V. Phone/Fax
- Phone: 805-965-4327
- Fax:
- Phone: 805-965-4327
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | HA7097 |
| License Number State | CA |
VIII. Authorized Official
Name:
BYUNG-GAP
UM
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 805-965-4327