Healthcare Provider Details

I. General information

NPI: 1215164967
Provider Name (Legal Business Name): SIERRA PARINI AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SIERRA BROWER

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 01/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4460 BLACK AVE SUITE F
PLEASANTON CA
94566-6142
US

IV. Provider business mailing address

4460 BLACK AVE SUITE F
PLEASANTON CA
94566-6142
US

V. Phone/Fax

Practice location:
  • Phone: 925-484-3507
  • Fax: 925-484-3556
Mailing address:
  • Phone: 925-484-3507
  • Fax: 925-484-3556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU 2678
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: