Individual
EMILY TERESA DARCHANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
301 S MOORPARK RD, THOUSAND OAKS, CA 91361-1008
(805) 379-0824
Mailing address
301 S MOORPARK RD, THOUSAND OAKS, CA 91361-1008
(805) 379-0824
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2392
CA
237600000X
Audiologist-Hearing Aid Fitter
HA7050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANZ5982
INDIVIDUAL PTAN
CA
01
—
AR107Z
PTAN
CA
01
—
W15940
PTAN
CA
01
—
W8109
GROUP PTAN
CA
Enumeration date
08/11/2006
Last updated
02/02/2015
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