Provider Demographics
NPI:1003987660
Name:ARONSON, NOLA CLARK
Entity Type:Individual
Prefix:
First Name:NOLA
Middle Name:CLARK
Last Name:ARONSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23861 MCBEAN PKWY
Mailing Address - Street 2:E16
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2058
Mailing Address - Country:US
Mailing Address - Phone:661-288-1400
Mailing Address - Fax:661-288-1490
Practice Address - Street 1:23861 MCBEAN PKWY
Practice Address - Street 2:E16
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2058
Practice Address - Country:US
Practice Address - Phone:661-288-1400
Practice Address - Fax:661-288-1490
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU749237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU007490Medicaid
CAAUD749AMedicare ID - Type UnspecifiedAUDIOLOGIST