Dennis Aldo Colucci, AU.D., M.A., ABA
Individual provider Active NPI Audiologist · Dana Point, CA
NPI 1457418345 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1457418345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AU348 (CA)
- Practice address
- 24672 San Juan Ave Ste 104
Dana Point, CA 92629-2837 - Phone
- (949) 230-1976
- Fax
- (949) 388-0932
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Business Administration, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU348 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearx West Inc | Audiologist-Hearing Aid Fitter | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU348 | CA | Yes |
Addresses
Primary practice location
24672 San Juan Ave Ste 104
Dana Point, CA 92629-2837
Mailing address
32565 Golden Lantern St
Suite B#117
Dana Point, CA 92629-3261
Phone (949) 230-1976
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU348 | Other | CA | STATE LICENSE |
Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.