Provider Demographics
NPI:1962627943
Name:HORNING, JUDITH K (AUD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:K
Last Name:HORNING
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 1:16766 BERNARDO CENTER DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2545
Mailing Address - Country:US
Mailing Address - Phone:858-485-0909
Mailing Address - Fax:858-485-0930
Practice Address - Street 1:16766 BERNARDO CENTER DR
Practice Address - Street 2:SUITE 206
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2545
Practice Address - Country:US
Practice Address - Phone:858-485-0909
Practice Address - Fax:858-485-0930
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU78231H00000X
CAHA1339237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU0000780Medicaid
CAAU0000780Medicaid