| NPI | 1689213423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE KELLY Secretary 760-434-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-05-06 |