Provider Demographics
NPI:1154556124
Name:DOBRIK, JOSEPH (HEARING AID DISPENSE)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:DOBRIK
Suffix:
Gender:M
Credentials:HEARING AID DISPENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 S BREA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5338
Mailing Address - Country:US
Mailing Address - Phone:714-672-9100
Mailing Address - Fax:714-672-9300
Practice Address - Street 1:440 S BREA BLVD STE A
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5338
Practice Address - Country:US
Practice Address - Phone:714-672-9100
Practice Address - Fax:714-672-9300
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3009237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA3009OtherHEARING INSTRUMENT SPECIALIST