Provider Demographics
NPI:1861524977
Name:COLUNGA & LOWE AUDIOLOGY
Entity type:Organization
Organization Name:COLUNGA & LOWE AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:TOVAR
Authorized Official - Last Name:COLUNGA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:559-432-2650
Mailing Address - Street 1:6101 N FRESNO STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710
Mailing Address - Country:US
Mailing Address - Phone:559-432-2650
Mailing Address - Fax:559-435-4618
Practice Address - Street 1:6101 N FRESNO STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710
Practice Address - Country:US
Practice Address - Phone:559-432-2650
Practice Address - Fax:559-435-4618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1523231H00000X
CAAU1003231H00000X
CAHA3371237600000X
CAHA2177237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ24266ZMedicare ID - Type Unspecified
ZZZ24267ZMedicare ID - Type Unspecified