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MARK DALLAS HADDAD MA DISPENSER AUDIOP NPI 1356364707


NPI Information

NPI: 1356364707
Provider Name: MARK DALLAS HADDAD, MA DISPENSER AUDIOP
Classification: Hearing Instrument Specialist - 237700000X
Entity Type: Individual
Address:
6888 LINCOLN AVE
SUITE E & H
BUENA PARK, CA
ZIP 90620
Phone: (714) 229-9178
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Mark Dallas Haddad, MA DISPENSER AUDIOP is a hearing instrument specialist in Buena Park, 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 Mark Dallas Haddad, MA DISPENSER AUDIOP NPI is 1356364707. 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:

6888 LINCOLN AVE
SUITE E & H
BUENA PARK, CA
ZIP 90620
Phone: (714) 229-9178
Fax: (714) 229-9187

The enumeration date for this NPI number is 7/26/2006 and was last updated on 3/6/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1237700000XHearing Instrument SpecialistHA3988CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HA0039880MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.