MEDICARE: FJS HEARING PROFESSIONALS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1063630614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FJS HEARING PROFESSIONALS

Provider Business Mailing Address
First Line	:	PO BOX 369
Second Line	:
City	:	MIRA LOMA
State	:	CA
Zip	:	91752-0369
Country	:	US
Telephone Number	:	909-986-9635
Fax Number	:	909-391-5873

Provider Business Practice Location Address
First Line	:	19083 BEAR VALLEY RD # 3
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92308-2719
Country	:	US
Telephone Number	:	760-240-5700
Fax Number	:	760-240-7900

Authorized Official
Title or Position	:	OFFICE ADMIN.
Name	:	DIANA NEAL
Credential	:
Telephone Number	:	909-225-4522

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	03/18/2026

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