Provider Demographics
NPI:1265914154
Name:CONFAB CONCIERGE AUDIOLOGY INC.
Entity type:Organization
Organization Name:CONFAB CONCIERGE AUDIOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:316-516-4779
Mailing Address - Street 1:118 SUNRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-7610
Mailing Address - Country:US
Mailing Address - Phone:310-820-8887
Mailing Address - Fax:
Practice Address - Street 1:118 SUNRIDGE ST
Practice Address - Street 2:
Practice Address - City:PLAYA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90293-7610
Practice Address - Country:US
Practice Address - Phone:310-820-8887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU3065237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty