=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336519404
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MONA AHMADI M.A
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/01/2015
-----------------------------------------------------
Last Update Date | 10/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8831 VILLA LA JOLLA DR
-----------------------------------------------------
City | LA JOLLA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92037-1949
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-795-0997
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16623 SWARTZ CANYON RD
-----------------------------------------------------
City | RAMONA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92065-4170
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-678-6423
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 3051
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------