Active NPI
Audiology Center of Los Angeles
- Audiologist-Hearing Aid Fitter
- Los Angeles, CA
National Provider Identifier
1376763102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU64
- Legal business name
- AUDIOLOGY CENTER OF LOS ANGELES
- Practice address
- 1728 Laurel Canyon Blvd
Suite D
Los Angeles, CA 90046-2138 - Phone
- (323) 851-6556
- Fax
- (232) 851-6593
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynda Dale Gluck, MA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU64 | CA | Primary |
Addresses
Primary practice location
1728 Laurel Canyon Blvd
Suite D
Los Angeles, CA 90046-2138
Mailing address
PO Box 480184
Los Angeles, CA 90048-1184
Phone (323) 851-6556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU64 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Audiology Center of Los Angeles
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Audiologist-Hearing Aid Fitter
- Banning, CA
- NPI 1043434749
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hearing Instrument Specialist
- Los Angeles, CA
- NPI 1578623500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1376763102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480184",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900481184",
"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": "1728 LAUREL CANYON BLVD",
"address_2": "SUITE D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900462138",
"telephone_number": "323-851-6556",
"fax_number": "232-851-6593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDIOLOGY CENTER OF LOS ANGELES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "GLUCK",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-851-6556",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X MULTIPLE 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 Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.