Provider Demographics
NPI:1548745128
Name:PEREZ, JOE (HEARING AID DISP)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:HEARING AID DISP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 W ALISAL ST STE B
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-1178
Mailing Address - Country:US
Mailing Address - Phone:831-258-7808
Mailing Address - Fax:
Practice Address - Street 1:975 W ALISAL ST STE B
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-1178
Practice Address - Country:US
Practice Address - Phone:831-258-7808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8051237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist