Healthcare Provider Details

I. General information

NPI: 1962627943
Provider Name (Legal Business Name): JUDITH K HORNING AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16766 BERNARDO CENTER DR SUITE 206
SAN DIEGO CA
92128-2545
US

IV. Provider business mailing address

16766 BERNARDO CENTER DR SUITE 206
SAN DIEGO CA
92128-2545
US

V. Phone/Fax

Practice location:
  • Phone: 858-485-0909
  • Fax: 858-485-0930
Mailing address:
  • Phone: 858-485-0909
  • Fax: 858-485-0930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU78
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA1339
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: