Healthcare Provider Details

I. General information

NPI: 1922004480
Provider Name (Legal Business Name): ANGELA M BATINI M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 AIRPARK DR STE 101
REDDING CA
96001-2461
US

IV. Provider business mailing address

2510 AIRPARK DR STE 101
REDDING CA
96001-2461
US

V. Phone/Fax

Practice location:
  • Phone: 530-241-6656
  • Fax: 530-246-3642
Mailing address:
  • Phone: 530-241-6656
  • Fax: 530-246-3642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU1102
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: