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NPI Code Detail

MEDICARE: APRILLE ENGALLA

MEDICARE: APRILLE ENGALLA
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
1237600000XAudiologist-Hearing Aid FitterHA 4187CA
2231H00000XAudiologistAU 2178CA

General Provider Information

NPI Number : 1790763118
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRILLE ENGALLA
Provider Business Mailing Address
First Line : 724 N EUCLID ST
Second Line :
City : FULLERTON
State : CA
Zip : 92832-1008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 W PROVIDENCE AVE
Second Line :
City : ORANGE
State : CA
Zip : 92868-3808
Country : US
Telephone Number : 714-639-4990
Fax Number : 714-639-2593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 11/30/2021

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Directions to “ APRILLE ENGALLA ” Practice Location

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