Dr Gina Gracia, AUD | |
100 Moody Ct Ste 110, Thousand Oaks, CA 91360-6076 | |
(310) 825-5721 | |
Not Available |
Full Name | Dr Gina Gracia |
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Gender | Female |
Speciality | Audiologist |
Location | 100 Moody Ct Ste 110, Thousand Oaks, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033375100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231HA2400X | Audiologist - Assistive Technology Practitioner | 2011 (California) | Secondary |
231H00000X | Audiologist | AU 2011 (California) | Primary |
Provider Name | Regents Of The University Of California Los Angeles |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609194497 PECOS PAC ID: 4587857727 Enrollment ID: O20101020001402 |
Mailing Address | Practice Location Address |
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Dr Gina Gracia, AUD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Dr Gina Gracia, AUD 100 Moody Ct Ste 110, Thousand Oaks, CA 91360-6076 Ph: (310) 825-5721 |
Emily Teresa Darchangelo, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-0824 | |
Carlen Eva Kim, Audiologist Medicare: Medicare Enrolled Practice Location: 100 Moody Ct Ste 110, Thousand Oaks, CA 91360 Phone: 310-825-5721 | |
Rachael Athenia Krager Salin, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 100 Moody Ct Ste 110, Thousand Oaks, CA 91360 Phone: 310-825-5721 | |
Taylor Holt, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-0824 | |
Elizabeth Agboola, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 100 Moody Ct Ste 110, Thousand Oaks, CA 91360 Phone: 310-825-5721 Fax: 310-825-3344 | |
Dr. Carolann O'rourke, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 555 Marin St, Thousand Oaks, CA 91360 Phone: 818-746-7655 |