Provider Demographics
NPI:1275924748
Name:AUDIUVA, INC.
Entity Type:Organization
Organization Name:AUDIUVA, INC.
Other - Org Name:ZOUNDS SEAL BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-794-1981
Mailing Address - Street 1:3943 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-3827
Mailing Address - Country:US
Mailing Address - Phone:714-476-2996
Mailing Address - Fax:
Practice Address - Street 1:2908 WESTMINSTER AVE
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-5305
Practice Address - Country:US
Practice Address - Phone:562-794-1981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7013237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty