MEDICARE: MR. EDWIN ANDREW KRONE HEARING AID DISPENSE

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	CAHA737	CA

General Provider Information

NPI Number	:	1164996328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDWIN ANDREW KRONE HEARING AID DISPENSE

Provider Business Mailing Address
First Line	:	23521 PASEO DE VALENCIA STE 209
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3140
Country	:	US
Telephone Number	:	949-830-4444
Fax Number	:	949-830-2891

Provider Business Practice Location Address
First Line	:	23521 PASEO DE VALENCIA STE 209
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3140
Country	:	US
Telephone Number	:	949-830-4444
Fax Number	:	949-830-2891

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

Provider Enumeration Date	:	01/21/2019
Last Update Date	:	01/21/2019

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