Provider Demographics
NPI:1659445054
Name:TRIUNFO ENTERPRISES, INC.
Entity Type:Organization
Organization Name:TRIUNFO ENTERPRISES, INC.
Other - Org Name:CONEJO HEARING AID CENTER MIRACLE EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOLODIN
Authorized Official - Suffix:
Authorized Official - Credentials:LHAD
Authorized Official - Phone:805-497-7971
Mailing Address - Street 1:2239 TOWNSGATE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2405
Mailing Address - Country:US
Mailing Address - Phone:805-497-7971
Mailing Address - Fax:805-497-7257
Practice Address - Street 1:2239 TOWNSGATE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2405
Practice Address - Country:US
Practice Address - Phone:805-497-7971
Practice Address - Fax:805-497-7257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7031237700000X
CAHA1014237700000X
CAHA7091237700000X
CAHA3353237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty