# MISSION AUDIOLOGY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558536565
- **Authorized official:** DR. KATHLEEN A SULLIVAN AU.D., FAAA (AUDIO;OGIST)
- **Authorized official phone:** (949) 855-7898

## Contact information

- **Practice address:** 26302 LA PAZ RD, 107, MISSION VIEJO, CA 92691
- **Practice address phone:** (949) 855-7898
- **Practice address fax:** (949) 855-1074
- **Mailing address:** 26302 LA PAZ RD, 107, MISSION VIEJO, CA 92691
- **Mailing address phone:** (949) 855-7898
- **Mailing address fax:** (949) 855-1074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | — | NULL | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | — | — |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 04/30/2008