MEDICARE: JODIE BAKER COTNEY 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	AU4015	CA

General Provider Information

NPI Number	:	1871481614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODIE BAKER COTNEY AUD

Provider Business Mailing Address
First Line	:	10790 RANCHO BERNARDO RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-5705
Country	:	US
Telephone Number	:	858-554-9933
Fax Number	:

Provider Business Practice Location Address
First Line	:	12395 CAMINO REAL
Second Line	:	305
City	:	SAN DIEGO
State	:	CA
Zip	:	92130
Country	:	US
Telephone Number	:	858-554-9933
Fax Number	:

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

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	02/12/2026

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Directions to “ JODIE BAKER COTNEY AUD” Practice Location

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