Provider Demographics
NPI:1144451519
Name:ZEPEDA, LAURA (HEARING INSTRUMENT S)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ZEPEDA
Suffix:
Gender:F
Credentials:HEARING INSTRUMENT S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 E. BASTANCHURY ROAD
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-2782
Mailing Address - Country:US
Mailing Address - Phone:714-672-9445
Mailing Address - Fax:
Practice Address - Street 1:165 E. ROWLAND STREET
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91773-3049
Practice Address - Country:US
Practice Address - Phone:626-966-6780
Practice Address - Fax:626-966-3780
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHT8576237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist