Provider Demographics
NPI:1265997993
Name:VERCI JEWELRY CORP
Entity type:Organization
Organization Name:VERCI JEWELRY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ESTELA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLASENOR
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:818-805-3493
Mailing Address - Street 1:20812 VENTURA BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2335
Mailing Address - Country:US
Mailing Address - Phone:818-805-3493
Mailing Address - Fax:818-346-1932
Practice Address - Street 1:20812 VENTURA BLVD STE 108
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2335
Practice Address - Country:US
Practice Address - Phone:818-805-3493
Practice Address - Fax:818-346-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty