Individual
MR. GARY L SHASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D, F-AAA
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLDG 3 STE153, LA MESA, CA 91942-3020
(619) 589-5414
(619) 589-7391
Mailing address
12927 SLEEPY WIND ST, MOORPARK, CA 93021-2935
(310) 989-3092
(805) 530-3989
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124050794
—
CA
Enumeration date
07/06/2006
Last updated
06/30/2015
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