Healthcare Provider Details

I. General information

NPI: 1619949856
Provider Name (Legal Business Name): MICHAEL FRANCIS STEJSKAL M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27349 JEFFERSON AVE #112
TEMECULA CA
92590-5634
US

IV. Provider business mailing address

27349 JEFFERSON AVE #112
TEMECULA CA
92590-5634
US

V. Phone/Fax

Practice location:
  • Phone: 951-296-5690
  • Fax: 951-296-5693
Mailing address:
  • Phone: 951-296-5690
  • Fax: 951-296-5693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU968
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License NumberHA2188
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: