Healthcare Provider Details
I. General information
NPI: 1205975513
Provider Name (Legal Business Name): DONNA LYNN ESKWITT PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/05/2007
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1867 CALIFORNIA AVE STE 101
CORONA CA
92881-7281
US
IV. Provider business mailing address
73061 JOSHUA TREE ST
PALM DESERT CA
92260-4772
US
V. Phone/Fax
- Phone: 714-692-2270
- Fax:
- Phone: 760-902-0922
- Fax: 760-836-9311
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AU700 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | AU700 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: