Healthcare Provider Details

I. General information

NPI: 1194997361
Provider Name (Legal Business Name): KRISTA M HOSKINS AUD F-AAA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2008
Last Update Date: 11/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 FASHION LN STE 112
TUSTIN CA
92780-3362
US

IV. Provider business mailing address

161 FASHION LN STE 112
TUSTIN CA
92780-3362
US

V. Phone/Fax

Practice location:
  • Phone: 714-884-3400
  • Fax:
Mailing address:
  • Phone: 714-240-0659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU-1676
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHA-3527
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: