Mark Dallas Haddad, MA DISPENSER AUDIOP

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA3988 Issued in CA

Practice address

6888 Lincoln Ave
Suite E & H
Buena Park, CA 90620

Phone

(714) 229-9178

Fax

(714) 229-9187

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suncoast Laboratories Inc

  • Hearing Aid Equipment
  • Garden Grove, CA
  • NPI 1922207596
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1356364707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6539",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90622",
            "telephone_number": "714-229-9178",
            "fax_number": "714-229-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 LINCOLN AVE",
            "address_2": "SUITE E & H",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90620",
            "telephone_number": "714-229-9178",
            "fax_number": "714-229-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "MARK",
        "middle_name": "DALLAS",
        "credential": "MA DISPENSER  AUDIOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0039880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Anaheim Special Education Local Plan Area
• Heather A Guay, MFTI
• Ricardo Manalaysay Guinto Jr., NP
• Sondra Dee Gulyassy
• Jeong Yoon Ha
• Hertsel Perjam Hakimian, DDS
• Janeal Hall
• Hamsoa Oc Acupuncture, Inc.
• Dae Youn Han
• Dong Gwon Han, DC, DAOM, LAC

• Hearing Instrument Specialist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.