| NPI | 1124425855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE VITULLO Billing Manager 818-917-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU1135) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AUD1135A) |
| 231HA2400X Audiologist Assistive Technology Practitioner (Licence: CA AUD1135A) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AUD1135A) | |
| 237700000X Hearing Instrument Specialist (Licence: CA AUD1135A) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2018-03-27 |