Provider Demographics
NPI:1578501631
Name:BINGEA, REBECCA L (AUD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:L
Last Name:BINGEA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 POST ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3465
Mailing Address - Country:US
Mailing Address - Phone:415-353-2015
Mailing Address - Fax:415-353-2883
Practice Address - Street 1:2330 POST ST
Practice Address - Street 2:SUITE 270
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3465
Practice Address - Country:US
Practice Address - Phone:415-353-2015
Practice Address - Fax:415-353-2883
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU841231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AU8410Medicaid
CA00AU8410Medicare PIN