JOSE LUIS MANCILLA NPI 1912582289

NPI Information

NPI: 1912582289
Provider Name: JOSE LUIS MANCILLA
Classification: Hearing Instrument Specialist - 237700000X
Entity Type: Individual
Address:
30250 RANCHO VIEJO RD STE A
SAN JUAN CAPISTRANO, CA
ZIP 92675
Phone: (949) 489-0668
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Jose Luis Mancilla is a hearing instrument specialist in San Juan Capistrano, CA. The provider is individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society Jose Luis Mancilla NPI is 1912582289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30250 RANCHO VIEJO RD STE A
SAN JUAN CAPISTRANO, CA
ZIP 92675-555
Phone: (949) 489-0668
Fax: (949) 489-1475

The enumeration date for this NPI number is 3/17/2021 and was last updated on 5/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	237700000X	Hearing Instrument Specialist		7903	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7903	OTHER	CALIFORNIA	HEARING INSTRUMENT SPECIALIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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