Provider Demographics
NPI:1184837478
Name:DR. DIANNE SCHINDLER AUDIOLOGIST
Entity Type:Organization
Organization Name:DR. DIANNE SCHINDLER AUDIOLOGIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:760-375-9399
Mailing Address - Street 1:121 S CHINA LAKE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-4049
Mailing Address - Country:US
Mailing Address - Phone:760-375-9399
Mailing Address - Fax:760-375-9499
Practice Address - Street 1:121 S CHINA LAKE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-4049
Practice Address - Country:US
Practice Address - Phone:760-375-9399
Practice Address - Fax:760-375-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1371231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU1371OtherGALLAGHER BENEFIT ADMIN
CAZZZ475592OtherBC BS FEP AUDIOLOGY
CAAU1371OtherTRICARE
CAAU1371OtherBC SISCIII
CAZZZ47559ZOtherBS OF CA
CAZZZ00900ZOtherGEHA
CAAU1371OtherINDEPENDENCE
CAAU1371OtherGALLAGHER BENEFIT ADMIN