MEDICARE: ANTHONY PERKINS

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	HA8854	CA

General Provider Information

NPI Number	:	1306547096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY PERKINS

Provider Business Mailing Address
First Line	:	4568 FEATHER RIVER DR STE C
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95219-6503
Country	:	US
Telephone Number	:	209-951-6491
Fax Number	:

Provider Business Practice Location Address
First Line	:	4568 FEATHER RIVER DR STE C
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95219-6503
Country	:	US
Telephone Number	:	209-951-6491
Fax Number	:

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

Provider Enumeration Date	:	03/10/2023
Last Update Date	:	03/18/2026

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