| NPI | 1558536565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A SULLIVAN Audio;Ogist 949-855-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |