Provider Demographics
NPI:1437158482
Name:COTE, GARY A (MA, CCC-A)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:A
Last Name:COTE
Suffix:
Gender:M
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-4405
Mailing Address - Country:US
Mailing Address - Phone:619-427-9900
Mailing Address - Fax:619-427-9909
Practice Address - Street 1:453 4TH AVE
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-4405
Practice Address - Country:US
Practice Address - Phone:619-427-9900
Practice Address - Fax:619-427-9909
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1566237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU0015660OtherMEDI-CAL
CAAUD1566Medicare ID - Type UnspecifiedAUDIOLOGY