MEDICARE: MICHAEL G ZANDONA AUD

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	AU4031	CA
2	237600000X	Audiologist-Hearing Aid Fitter	AU4031	CA

General Provider Information

NPI Number	:	1245121458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL G ZANDONA AUD

Provider Business Mailing Address
First Line	:	2876 SYCAMORE DR STE 303
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-1550
Country	:	US
Telephone Number	:	805-583-8698
Fax Number	:	805-527-2426

Provider Business Practice Location Address
First Line	:	299 W HILLCREST DR STE 100
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-7820
Country	:	US
Telephone Number	:	805-379-0824
Fax Number	:

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

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	11/10/2025

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