Audiology Associates

LBN: Peter J Marincovich
Audiology Associates is an health care organization with primary practice located at 1111 Sonoma Ave Suite 316, Santa Rosa CA 95405-4819. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is the primary health care specialty. Peter J Marincovich can be contacted via phone (707) 523-4740, or through Marincovich, Peter Jansen via phone (707) 523-4740.

Contact Information

Primary practice address
1111 Sonoma Ave Suite 316 Santa Rosa CA 95405-4819
Phone: (707) 523-4740
Fax: (707) 523-0231
Website:
Map and Directions
Authorized official contact:
Name: Marincovich, Peter Jansen PHD AUDIOLOGIST DISP
Phone: (707) 523-4740

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU758 California
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X HA1949 California

Profile Details

NPI number 1417044801
LBN Legal business name Peter J Marincovich
DBA Doing business as Audiology Associates
Authorized official Marincovich, Peter Jansen PHD AUDIOLOGIST DISP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Mar 13th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417044801 NPPES
California Other 640002077 RRM
California Other ZZZ03361Z RRM
California MEDICAID AU0007580 RRM
California Other ZZZ03362Z RRM

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