Healthcare Provider Details

I. General information

NPI: 1003987660
Provider Name (Legal Business Name): NOLA CLARK ARONSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23861 MCBEAN PKWY E16
VALENCIA CA
91355-2058
US

IV. Provider business mailing address

23861 MCBEAN PKWY E16
VALENCIA CA
91355-2058
US

V. Phone/Fax

Practice location:
  • Phone: 661-288-1400
  • Fax: 661-288-1490
Mailing address:
  • Phone: 661-288-1400
  • Fax: 661-288-1490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU749
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: