| NPI | 1881733012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SHANNON Owner 818-780-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA au2631) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AUD898) |
| 237700000X Hearing Instrument Specialist (Licence: CA AUD898) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-10-02 |