Provider Demographics
NPI:1568527687
Name:RADOMSKI, MARGARET CARIDAD (HAD)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:CARIDAD
Last Name:RADOMSKI
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 CORONA MALL
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-1421
Mailing Address - Country:US
Mailing Address - Phone:951-734-4080
Mailing Address - Fax:951-734-0531
Practice Address - Street 1:543 CORONA MALL
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1421
Practice Address - Country:US
Practice Address - Phone:951-734-4080
Practice Address - Fax:951-734-0531
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA6010237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist