Organization Active NPI

Los Angeles International Hearing Aid Center

  • Audiologist
  • Los Angeles, CA
National Provider Identifier
1467649152
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD1626 Issued in CA
Legal business name
LOS ANGELES INTERNATIONAL HEARING AID CENTER
Practice address
6225 Wilshire Blvd
Los Angeles, CA 90048-5103
Phone
(323) 954-1388
Fax
(323) 954-1388
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Adele Zaretsky, AUDIOLOGIST
Title
Owner Audiologist
Phone
(323) 954-1388

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X AUD1626 CA Primary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X AUD1626 CA

Addresses

Primary practice location

6225 Wilshire Blvd
Los Angeles, CA 90048-5103

Mailing address

6225 Wilshire Blvd
Los Angeles, CA 90048-5103
Phone (323) 954-1388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091002000506 CA Part B Supplier - Clinic/Group Practice 9830235944 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

6215 Wilshire Blvd
Los Angeles, CA 90048

6225 Wilshire Blvd
Los Angeles, CA 90048
Phone (323) 954-1388

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1467649152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485103",
            "telephone_number": "323-954-1388",
            "fax_number": "323-954-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485103",
            "telephone_number": "323-954-1388",
            "fax_number": "323-954-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES INTERNATIONAL HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "ZARETSKY",
        "authorized_official_first_name": "ADELE",
        "authorized_official_title_or_position": "OWNER AUDIOLOGIST",
        "authorized_official_telephone_number": "323-954-1388",
        "authorized_official_credential": "AUDIOLOGIST"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AUD1626",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AUD1626",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.