Healthcare Provider Details

I. General information

NPI: 1447185095
Provider Name (Legal Business Name): MARINA BIRMAN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15400 FOOTHILL BLVD
CASTRO VALLEY CA
94578-1009
US

IV. Provider business mailing address

14 TEODORA CT
MORAGA CA
94556-2836
US

V. Phone/Fax

Practice location:
  • Phone: 510-895-4533
  • Fax: 510-895-4571
Mailing address:
  • Phone: 925-963-6444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU988
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: