| |
14435 Sherman Way, Suite 207, Van Nuys, CA 91405 | |
(818) 994-8927 | |
(818) 994-0364 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 14435 Sherman Way, Van Nuys, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508983677 | NPI | - | NPPES |
AU0004820 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AU482 (California) | Primary |
237600000X | Audiologist-hearing Aid Fitter | HA2232 (California) | Primary |
Mailing Address | Practice Location Address |
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14435 Sherman Way, Suite 207, Van Nuys, CA 91405 Ph: (818) 994-8927 | 14435 Sherman Way, Suite 207, Van Nuys, CA 91405 Ph: (818) 994-8927 |