Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malia Pearl Henderson, AUD

Individual provider Audiologist · NPI 1790557304

Malia Pearl Henderson, AUD is an Otolaryngology in San Luis Obispo, California. Qualified in 2023, 3 years ago. Practices with M K Larson Audiology Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

628 California Blvd Ste D1
San Luis Obispo, CA 93401-2559
Phone: (805) 242-4487
Fax: (805) 242-0427
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 3833 (CA)

Record details

NPI number1790557304
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorYes
NPI enumeratedOctober 26, 2023
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice M K Larson Audiology Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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