Healthcare Provider Details

I. General information

NPI: 1699608984
Provider Name (Legal Business Name): PENELOPE FRANKLIN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 CAMINO DEL RIO S STE 220
SAN DIEGO CA
92108-3817
US

IV. Provider business mailing address

1625 DIAMOND ST
SAN DIEGO CA
92109-3141
US

V. Phone/Fax

Practice location:
  • Phone: 858-279-6772
  • Fax:
Mailing address:
  • Phone: 757-298-9218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number4162
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: