Healthcare Provider Details

I. General information

NPI: 1134884042
Provider Name (Legal Business Name): TERESA LYNN HOBOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33050 ANTELOPE RD STE 205
MURRIETA CA
92563-2491
US

IV. Provider business mailing address

33050 ANTELOPE RD STE 205
MURRIETA CA
92563-2491
US

V. Phone/Fax

Practice location:
  • Phone: 951-667-3936
  • Fax: 951-679-0822
Mailing address:
  • Phone: 951-667-3936
  • Fax: 951-679-0822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number8626
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: