Provider Demographics
NPI:1255112520
Name:ALCALA, CITA BIANCA APOSTOL (AUD)
Entity type:Individual
Prefix:DR
First Name:CITA BIANCA
Middle Name:APOSTOL
Last Name:ALCALA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:BIANCA
Other - Middle Name:
Other - Last Name:ALCALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:298 TUSTIN FIELD DR
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-6523
Mailing Address - Country:US
Mailing Address - Phone:619-370-0025
Mailing Address - Fax:
Practice Address - Street 1:26726 CROWN VALLEY PKWY STE 210
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-8006
Practice Address - Country:US
Practice Address - Phone:949-276-4008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3838231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist