MEDICARE: TIM WEST

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	:	1144742305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIM WEST

Provider Business Mailing Address
First Line	:	5555 GARDEN GROVE BLVD STE 200
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-8234
Country	:	US
Telephone Number	:	714-898-5732
Fax Number	:	714-901-4058

Provider Business Practice Location Address
First Line	:	5555 GARDEN GROVE BLVD STE 200
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-8234
Country	:	US
Telephone Number	:	714-898-5732
Fax Number	:	714-901-4058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	07/21/2022

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Directions to “ TIM WEST ” Practice Location

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