Provider Demographics
NPI:1548396898
Name:WINTER, MARGARET E (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:WINTER
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 SAN JACINTO ST
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5749
Mailing Address - Country:US
Mailing Address - Phone:661-993-6800
Mailing Address - Fax:
Practice Address - Street 1:CSULA HEARING CLINIC 1000 S FREMONT ST
Practice Address - Street 2:BUILDING B SUITE B 10200
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91802
Practice Address - Country:US
Practice Address - Phone:323-343-4690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA407231H00000X
CA3354237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3354OtherHA DISPENSER LICENSE
CAAU0004070OtherMEDICAL PROVIDER