Healthcare Provider Details

I. General information

NPI: 1750543187
Provider Name (Legal Business Name): ROSE MARIE SCHLEIF DAVIS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. ROSEMARIE SCHLEIF DAVIS

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 09/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30030 TOWN CENTER DR
LAGUNA NIGUEL CA
92677-2046
US

IV. Provider business mailing address

30532 MIRANDELA LN
LAGUNA NIGUEL CA
92677-2346
US

V. Phone/Fax

Practice location:
  • Phone: 949-395-3340
  • Fax:
Mailing address:
  • Phone: 949-395-3340
  • Fax: 949-395-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUD 350
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA 7294
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: