Provider Demographics
NPI:1801012786
Name:AUDIOGENIC INC
Entity type:Organization
Organization Name:AUDIOGENIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:B
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:SR
Authorized Official - Credentials:DISPENSER
Authorized Official - Phone:949-830-5330
Mailing Address - Street 1:24310 MOULTON PKWY
Mailing Address - Street 2:
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-3306
Mailing Address - Country:US
Mailing Address - Phone:949-830-5330
Mailing Address - Fax:949-830-6926
Practice Address - Street 1:24310 MOULTON PKWY
Practice Address - Street 2:
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-3306
Practice Address - Country:US
Practice Address - Phone:949-830-5330
Practice Address - Fax:949-830-6926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment