| Doctor Name: | MIKA MOORE |
| NPI Number: | 1114049285 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AU.D. |
| License Number: | 1873 |
| Business Practice Address: | 520 Superior Ave Ste. 190 Newport Beach, CA - 926633637 |
| Business Phone Number: | 9495480352 |
| Business Fax Number: | 9495484839 |
| Mailing Address: | 1301 W Providence Ave, ORANGE |
| State: | CA |
| Postal Code: | 928683808 |
| Phone Number: | 7149231527 |
| Fax Number: | 7147443841 |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 09/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | 1873 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |