Basic Information
| Provider Information | |||||||||
| NPI: | 1013300169 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOC | ||||||||
| FirstName: | EVELYN | ||||||||
| MiddleName: | MARISOL | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | HA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5882 BOLSA AVE | ||||||||
| Address2: | SUITE 130 | ||||||||
| City: | HUNTINGTON BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926495702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148985732 | ||||||||
| FaxNumber: | 7149014058 | ||||||||
| Practice Location | |||||||||
| Address1: | 26880 SIERRA HWY | ||||||||
| Address2: | SUITE C-6 | ||||||||
| City: | SANTA CLARITA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913212228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6612534514 | ||||||||
| FaxNumber: | 6614249855 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2015 | ||||||||
| LastUpdateDate: | 03/13/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | HA 7956 | CA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.