MEDICARE: JULIAN PIERROT HIS

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	HA 7298	CA

General Provider Information

NPI Number	:	1275894933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIAN PIERROT HIS

Provider Business Mailing Address
First Line	:	4241 FLORIN RD 60
Second Line	:	FLORIN HEARING CENTER
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2325
Country	:	US
Telephone Number	:	916-421-5002
Fax Number	:

Provider Business Practice Location Address
First Line	:	4241 FLORIN ROAD
Second Line	:	60
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2523
Country	:	US
Telephone Number	:	916-421-5002
Fax Number	:

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

Provider Enumeration Date	:	05/30/2012
Last Update Date	:	05/30/2012

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