Organization Active NPI

Audiology Center of Los Angeles

  • Audiologist-Hearing Aid Fitter
  • Banning, CA
National Provider Identifier
1043434749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU64 Issued in CA
Legal business name
AUDIOLOGY CENTER OF LOS ANGELES
Practice address
6350 W Ramsey St
Suite B
Banning, CA 92220-3062
Phone
(323) 851-6556
Fax
(323) 851-6593
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynda GluckNPI 1578623500
Title
Owner
Phone
(323) 851-6556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X AU64 CA Primary

Addresses

Primary practice location

6350 W Ramsey St
Suite B
Banning, CA 92220-3062

Mailing address

6350 W Ramsey St
Suite B
Banning, CA 92220-3062
Phone (323) 851-6556

Other identifiers 1

IdentifierTypeStateIssuer
AU64OtherCASTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Audiology Center of Los Angeles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6350 W Ramsey St
Ste B
Banning, CA 92220
Phone (323) 851-6556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043434749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W RAMSEY ST",
            "address_2": "SUITE B",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203062",
            "telephone_number": "323-851-6556",
            "fax_number": "323-851-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 W RAMSEY ST",
            "address_2": "SUITE B",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203062",
            "telephone_number": "323-851-6556",
            "fax_number": "323-851-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CENTER OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLUCK",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-851-6556"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU64",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AU64",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.