Healthcare Provider Details

I. General information

NPI: 1982245692
Provider Name (Legal Business Name): VIVIANA ANGELINA MIGLIA AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 WILLOW LN STE 218
THOUSAND OAKS CA
91361-4992
US

IV. Provider business mailing address

5555 GARDEN GROVE BLVD STE 200
WESTMINSTER CA
92683-8234
US

V. Phone/Fax

Practice location:
  • Phone: 805-870-4498
  • Fax: 805-870-4625
Mailing address:
  • Phone: 714-898-5732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU3748
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA8555
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU3748
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: