Provider Demographics
NPI:1558917328
Name:TAEYOUNG CELINA CORPORATION
Entity Type:Organization
Organization Name:TAEYOUNG CELINA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-672-9445
Mailing Address - Street 1:165 E. ROWLAND STREET
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3049
Mailing Address - Country:US
Mailing Address - Phone:714-672-9445
Mailing Address - Fax:714-672-9448
Practice Address - Street 1:165 E ROWLAND STREET
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3049
Practice Address - Country:US
Practice Address - Phone:714-672-9445
Practice Address - Fax:714-972-9448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty