Provider Demographics
NPI:1346311297
Name:VOGLUND, JOSEPH ARTHUR (CCCA)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ARTHUR
Last Name:VOGLUND
Suffix:
Gender:M
Credentials:CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 VALLEY VIEW ST
Mailing Address - Street 2:155
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-1751
Mailing Address - Country:US
Mailing Address - Phone:562-552-7714
Mailing Address - Fax:
Practice Address - Street 1:5842 NAPLES PLAZA
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-5039
Practice Address - Country:US
Practice Address - Phone:562-439-9539
Practice Address - Fax:562-439-2232
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
CAAU2051231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist