Miwako Hisagi

Individual provider Active NPI Audiologist · Rolling Hills Estates, CA

NPI 1407342009 · NPPES record last updated Jul 6, 2018

Key facts

NPI
1407342009
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
3298 (CA)
Practice address
901 Silver Spur Rd
Rolling Hills Estates, CA 90274-3805
Phone
(310) 377-6728
NPI assigned
Jul 6, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3298CAMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3298 CA Yes

Addresses

Primary practice location

901 Silver Spur Rd
Rolling Hills Estates, CA 90274-3805

Mailing address

645 Chestnut Ave Apt 303
Long Beach, CA 90802-1275

Other providers in Rolling Hills Estates, CA

All providers in Rolling Hills Estates, CA · Audiologist in California

Sources for this page

Verify at the official NPI Registry.