Audio Etc, , Inc.

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA3693 Issued in CA

Legal business name

AUDIO ETC, , INC.

Doing business as

Miracle-Ear Center

Practice address

4015 Governor Dr
Miracle-Ear Center
San Diego, CA 92122-2522

Phone

(858) 458-9019

Fax

(858) 458-9268

NPI assigned

Jan 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clifford William Johnson Jr.

Title

President

Phone

(760) 729-6129

Specialties & licenses 1

Addresses

Other names 1

• MIRACLE-EAR CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1457407496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 GLASGOW DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106537",
            "telephone_number": "760-729-6129",
            "fax_number": "760-729-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 GOVERNOR DR",
            "address_2": "MIRACLE-EAR CENTER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222522",
            "telephone_number": "858-458-9019",
            "fax_number": "858-458-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIO ETC, , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-729-6129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLE-EAR CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvonne M. Aube, MD
• Leonard Duane Aubert, CADC-CAS
• Alex Leon Aubin, M.D.
• Douglas Christopher Aucoin, L.C.S.W.
• Natalie Amanda Audain, NP
• Audioscope Audiology Group Apc
• Audrey Sophia Jarahzadeh, Licensed Clinical Social Worker, P.C (My Serene Spot)
• Audrey Wang DDS Corporation
• Callie Auer
• Tami S. Auerbach, D.C.

• Hearing Instrument Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.