Healthcare Provider Details

I. General information

NPI: 1346231552
Provider Name (Legal Business Name): MIKAL MARIE CALDWELL-MILLER M.A., F-AAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. MIKAL MARIE CALDWELL

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 WALKER ST SUITE #206
LA PALMA CA
90623-1747
US

IV. Provider business mailing address

7851 WALKER ST SUITE #206
LA PALMA CA
90623-1747
US

V. Phone/Fax

Practice location:
  • Phone: 714-523-4327
  • Fax: 714-523-4313
Mailing address:
  • Phone: 714-523-4327
  • Fax: 714-523-4313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU2241
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: