Provider Demographics
NPI:1205839768
Name:ROBERT-JAYSON COMMUNICATIONS
Entity Type:Organization
Organization Name:ROBERT-JAYSON COMMUNICATIONS
Other - Org Name:WESTERN AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEISSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:626-796-9510
Mailing Address - Street 1:PO BOX 50735
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91115-0735
Mailing Address - Country:US
Mailing Address - Phone:626-796-9510
Mailing Address - Fax:626-796-9520
Practice Address - Street 1:50 ALESSANDRO PL
Practice Address - Street 2:SUITE 230
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3149
Practice Address - Country:US
Practice Address - Phone:626-796-9510
Practice Address - Fax:626-796-9520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2060231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y19310Medicare UPIN
CAW18046Medicare ID - Type Unspecified