MEDICARE: JOANNE ROBBINS HAD

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	HA6057	CA

General Provider Information

NPI Number	:	1962854018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE ROBBINS HAD

Provider Business Mailing Address
First Line	:	230 HOSPITAL CIR
Second Line	:	A
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3995
Country	:	US
Telephone Number	:	714-894-4745
Fax Number	:	714-891-7429

Provider Business Practice Location Address
First Line	:	230 HOSPITAL CIR
Second Line	:	A
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3995
Country	:	US
Telephone Number	:	714-894-4745
Fax Number	:	714-891-7429

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

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	07/12/2016

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