Basic Information
| Provider Information | |||||||||
| NPI: | 1316180177 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EILER | ||||||||
| FirstName: | CHERYL | ||||||||
| MiddleName: | LAUREEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31862 COAST HWY | ||||||||
| Address2: | 302 | ||||||||
| City: | LAGUNA BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926516769 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497150500 | ||||||||
| FaxNumber: | 9497150504 | ||||||||
| Practice Location | |||||||||
| Address1: | 31862 COAST HWY | ||||||||
| Address2: | 302 | ||||||||
| City: | LAGUNA BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926516769 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497150500 | ||||||||
| FaxNumber: | 9497150504 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2009 | ||||||||
| LastUpdateDate: | 04/09/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AU 1952 | CA | Y | Speech, Language and Hearing Service Providers | Audiologist | 237600000X | HA 3921 | CA | N | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.