Provider Demographics
NPI:1790778884
Name:JARAMILLO, ELIZABETH COMER (AUD, CNIM)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:COMER
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:AUD, CNIM
Other - Prefix:MRS
Other - First Name:POLLY
Other - Middle Name:ELIZABETH
Other - Last Name:AMARAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, CNIM
Mailing Address - Street 1:10755 SCRIPPS POWAY PKWY STE 581
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3924
Mailing Address - Country:US
Mailing Address - Phone:858-433-7626
Mailing Address - Fax:877-240-8624
Practice Address - Street 1:10755 SCRIPPS POWAY PKWY STE 581
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-3924
Practice Address - Country:US
Practice Address - Phone:858-433-7626
Practice Address - Fax:877-240-8624
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB246428Medicare PIN