Basic Information
| Provider Information | |||||||||
| NPI: | 1063931616 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LINDNER | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | JO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3205 S SYCAMORE ST | ||||||||
| Address2: | |||||||||
| City: | SANTA ANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927074437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7014467369 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4482 BARRANCA PKWY STE 175 | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926041746 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9492627190 | ||||||||
| FaxNumber: | 9492627193 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2017 | ||||||||
| LastUpdateDate: | 03/19/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | HA8216 | CA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.