Provider Demographics
NPI:1326192980
Name:DIANE E. WILLIAMS, INC.
Entity Type:Organization
Organization Name:DIANE E. WILLIAMS, INC.
Other - Org Name:BETTER SOUND AUDIOLOGY & H.A.S.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CERTIFIED AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:760-228-1381
Mailing Address - Street 1:7024 AIRWAY AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-3069
Mailing Address - Country:US
Mailing Address - Phone:760-228-1381
Mailing Address - Fax:760-228-1481
Practice Address - Street 1:7024 AIRWAY AVE
Practice Address - Street 2:SUITE D
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-3069
Practice Address - Country:US
Practice Address - Phone:760-228-1381
Practice Address - Fax:760-228-1481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA612095900OtherDEPARTMENT OF LABOR
CAAU0018640Medicaid
CAZZZ62950Z, ZZZ62951ZOtherBLUE SHIELD
CAZZZ05560ZMedicare PIN