Healthcare Provider Details

I. General information

NPI: 1578678967
Provider Name (Legal Business Name): DONNA JEAN GELNETT M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13512 WHITTIER BLVD
WHITTIER CA
90605-1934
US

IV. Provider business mailing address

1149 W SHARON RD
SANTA ANA CA
92706-1537
US

V. Phone/Fax

Practice location:
  • Phone: 562-693-6106
  • Fax: 562-693-6108
Mailing address:
  • Phone: 714-953-5993
  • Fax: 310-371-6927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU1414
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: