Healthcare Provider Details

I. General information

NPI: 1033076211
Provider Name (Legal Business Name): SUNFLOWER AUDIOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13009 GOLDEN TROUT WAY
PENN VALLEY CA
95946-9113
US

IV. Provider business mailing address

13009 GOLDEN TROUT WAY
PENN VALLEY CA
95946-9113
US

V. Phone/Fax

Practice location:
  • Phone: 530-206-0813
  • Fax:
Mailing address:
  • Phone: 530-206-0813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ELISE GREGOIRE
Title or Position: CEO
Credential: AUD
Phone: 916-307-0288