Provider Demographics
NPI:1689625378
Name:SUGIURA, KAREN MIHO (AUD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MIHO
Last Name:SUGIURA
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 1:1550 E MAIN ST
Mailing Address - Street 2:AUDIOLOGY
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-4819
Mailing Address - Country:US
Mailing Address - Phone:805-354-6000
Mailing Address - Fax:805-922-5473
Practice Address - Street 1:1550 E MAIN ST
Practice Address - Street 2:AUDIOLOGY
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4819
Practice Address - Country:US
Practice Address - Phone:805-354-6000
Practice Address - Fax:805-922-5473
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2050231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist