Healthcare Provider Details

I. General information

NPI: 1124827720
Provider Name (Legal Business Name): BREITLING AUDIOLOGY GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3744 MT DIABLO BLVD STE 100
LAFAYETTE CA
94549-3661
US

IV. Provider business mailing address

3744 MT DIABLO BLVD STE 100
LAFAYETTE CA
94549-3661
US

V. Phone/Fax

Practice location:
  • Phone: 925-262-4242
  • Fax: 925-262-4255
Mailing address:
  • Phone: 925-262-4242
  • Fax: 925-262-4255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ERIK MARTIN BREITLING
Title or Position: CEO
Credential: AU.D.
Phone: 925-262-4230