Basic Information
| Provider Information | |||||||||
| NPI: | 1407968985 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAUSAR | ||||||||
| FirstName: | FAUZIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AUD., M.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5912 BOLSA AVE | ||||||||
| Address2: | STE 201 | ||||||||
| City: | HUNTINGTON BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926491146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148985732 | ||||||||
| FaxNumber: | 7149014058 | ||||||||
| Practice Location | |||||||||
| Address1: | 11180 WARNER AVE | ||||||||
| Address2: | SUITE 263 | ||||||||
| City: | FOUNTAIN VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 927087501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7143781000 | ||||||||
| FaxNumber: | 7143780190 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 05/28/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AY862 | FL | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | 2952 | CA | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.