Provider Demographics
NPI:1053462747
Name:STRONG, FRANK J (HD)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:J
Last Name:STRONG
Suffix:
Gender:M
Credentials:HD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3233 GRAND AVE
Mailing Address - Street 2:SUIT 329
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1489
Mailing Address - Country:US
Mailing Address - Phone:909-397-9247
Mailing Address - Fax:909-397-9248
Practice Address - Street 1:1700 ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-1727
Practice Address - Country:US
Practice Address - Phone:909-397-9247
Practice Address - Fax:909-397-9248
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3143237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA0031430Medicaid
CAY51520Medicare UPIN
CAZZZ03752ZMedicare ID - Type UnspecifiedAUDIOLOGIST