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NPI Code Detail

MEDICARE: MALLORY SHEEHAN

MEDICARE: MALLORY SHEEHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistHAD9211CA

General Provider Information

NPI Number : 1548129026
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORY SHEEHAN
Provider Business Mailing Address
First Line : 1045 E VALLEY PKWY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-4618
Country : US
Telephone Number : 760-489-6901
Fax Number : 760-489-1694
Provider Business Practice Location Address
First Line : 1045 E VALLEY PKWY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-4618
Country : US
Telephone Number : 760-489-6901
Fax Number : 760-489-1694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ MALLORY SHEEHAN ” Practice Location

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