MEDICARE: LARDIK ENTERPRISES INC

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	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1386193308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARDIK ENTERPRISES INC

Provider Business Mailing Address
First Line	:	4321 PIEDMONT AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-4740
Country	:	US
Telephone Number	:	510-652-0405
Fax Number	:	510-652-1764

Provider Business Practice Location Address
First Line	:	4321 PIEDMONT AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-4740
Country	:	US
Telephone Number	:	510-652-0405
Fax Number	:	510-652-1764

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD STONE
Credential	:
Telephone Number	:	510-652-0405

Provider Enumeration Date	:	10/03/2016
Last Update Date	:	10/03/2016

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Directions to “LARDIK ENTERPRISES INC ” Practice Location

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