Provider Demographics
NPI:1649641879
Name:YOPA, NICOLLE A (AUD)
Entity type:Individual
Prefix:DR
First Name:NICOLLE
Middle Name:A
Last Name:YOPA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5114 RIVERVIEW CT
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-7847
Mailing Address - Country:US
Mailing Address - Phone:740-317-7492
Mailing Address - Fax:858-909-0880
Practice Address - Street 1:39755 DATE ST STE 105
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2007
Practice Address - Country:US
Practice Address - Phone:951-461-0770
Practice Address - Fax:858-909-0880
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3253231H00000X
NC11665237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist