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 |