MEDICARE: JOHNNA TANJI AU.D.

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	231HA2400X	Assistive Technology Practitioner Audiologist	AU3316	CA
2	231H00000X	Audiologist	AU3316	CA
3	237600000X	Audiologist-Hearing Aid Fitter	AU3316	CA

General Provider Information

NPI Number	:	1225539422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHNNA TANJI AU.D.

Provider Business Mailing Address
First Line	:	2010 EL CAMINO REAL STE 723
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-4051
Country	:	US
Telephone Number	:	808-348-6860
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 JOSE FIGUERES AVE STE 280
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1555
Country	:	US
Telephone Number	:	408-937-8900
Fax Number	:

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

Provider Enumeration Date	:	02/22/2018
Last Update Date	:	12/13/2023

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Directions to “ JOHNNA TANJI AU.D.” Practice Location

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