Healthcare Provider Details

I. General information

NPI: 1841268828
Provider Name (Legal Business Name): IRON AUDIOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 SAN CLEMENTE DR STE D140
CORTE MADERA CA
94925-1210
US

IV. Provider business mailing address

45 SAN CLEMENTE DR STE D140
CORTE MADERA CA
94925-1210
US

V. Phone/Fax

Practice location:
  • Phone: 415-927-1567
  • Fax: 415-329-1924
Mailing address:
  • Phone: 415-927-1567
  • Fax: 916-786-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU1719
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberAU1719
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License NumberAU1719
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU1719
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA3491
License Number StateCA

VIII. Authorized Official

Name: MS. LISA JASCHKE MONARDI
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 916-806-6372