Provider Demographics
NPI:1447870092
Name:SCJ AUDIOLOGY AND MONITORING PC
Entity type:Organization
Organization Name:SCJ AUDIOLOGY AND MONITORING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STANTON
Authorized Official - Middle Name:CLIVE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:619-746-7050
Mailing Address - Street 1:676 N 12TH ST APT 14
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-1432
Mailing Address - Country:US
Mailing Address - Phone:619-746-7050
Mailing Address - Fax:
Practice Address - Street 1:676 N 12TH ST APT 14
Practice Address - Street 2:
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-1432
Practice Address - Country:US
Practice Address - Phone:619-746-7050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty