| NPI | 1114966132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLE C STASEK A.O. 760-489-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2025-09-02 |