Individual provider · NPI-1

Dr. Mark Datuin, Au.D.

Audiologist · Mission Viejo, CA

NPI number1669081469
StatusActive
Last updated in NPPESJul 31, 2020

Details

NPI
1669081469
Entity type
Individual (NPI-1)
Name
Dr. Mark Datuin
Credential
Au.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 28, 2020
Certification date
Jul 31, 2020
Last updated
Jul 31, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X AudiologistAU3353CAYes

Practice location

26302 La Paz Rd Ste 107
Mission Viejo, CA 92691-5327

Phone 949-855-7898

Mailing address

3734 Sepulveda Blvd
Torrance, CA 90505-2513

Phone 310-803-9496

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