MEDICARE: ADRIANE S. LEVY AUD, C.C.C.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AU 1296	CA

General Provider Information

NPI Number	:	1154488807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANE S. LEVY AUD, C.C.C.A.

Provider Business Mailing Address
First Line	:	13863 PUTNEY RD
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92064-4031
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 CAMINO DEL RIO N STE 106
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1542
Country	:	US
Telephone Number	:	619-297-0845
Fax Number	:	619-297-0841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	03/17/2018

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