Provider Demographics
NPI:1578513156
Name:VERASFORZZA, JANA DENISI (AUD, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:DENISI
Last Name:VERASFORZZA
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11301 WILSHIRE BLVD
Mailing Address - Street 2:(126)
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073-1003
Mailing Address - Country:US
Mailing Address - Phone:310-478-3711
Mailing Address - Fax:310-268-4791
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:ROOM #0229
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-268-3701
Practice Address - Fax:310-268-7491
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2230237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter