| NPI | 1518105972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS J BERGMANS Owner 951-849-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA 2322) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: CA 7224) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |