Organization
CLEAR CHOICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J HAUPT III MA (OWNER)
(619) 425-1111
Entity
Organization
Contact information
Practice address
642 3RD AVE, SUITE G, CHULA VISTA, CA 91910-5727
(619) 425-1111
(619) 498-0846
Mailing address
642 3RD AVE, SUITE G, CHULA VISTA, CA 91910-5727
(619) 425-1111
(619) 498-0846
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU1261
STATE LICENSE
CA
Enumeration date
04/12/2007
Last updated
06/19/2008
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