MEDICARE: MR. JOSEPH ARTHUR VOGLUND CCCA

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	231H00000X	Audiologist	AU2051	CA

General Provider Information

NPI Number	:	1346311297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH ARTHUR VOGLUND CCCA

Provider Business Mailing Address
First Line	:	12200 VALLEY VIEW ST
Second Line	:	155
City	:	GARDEN GROVE
State	:	CA
Zip	:	92845-1751
Country	:	US
Telephone Number	:	562-552-7714
Fax Number	:

Provider Business Practice Location Address
First Line	:	5842 NAPLES PLAZA
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-5039
Country	:	US
Telephone Number	:	562-439-9539
Fax Number	:	562-439-2232

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/08/2007

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