Alla Alexandra Avetisyan, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

8399 Issued in CA

Practice address

2360 S Azusa Ave Ste a-3
West Covina, CA 91792-1539

Phone

(626) 587-2122

Fax

(626) 671-4367

NPI assigned

Aug 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hearx West Inc

  • Audiologist-Hearing Aid Fitter
  • Bakersfield, CA
  • NPI 1336304922
  NPD (past)
• Hearx West, LLC

  • Audiologist-Hearing Aid Fitter
  • Bakersfield, CA
  • NPI 1356398598
  NPD (past)

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1487136941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 S AZUSA AVE STE A-3",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921539",
            "telephone_number": "626-587-2122",
            "fax_number": "626-671-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 S AZUSA AVE STE A-3",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921539",
            "telephone_number": "626-587-2122",
            "fax_number": "626-671-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVETISYAN",
        "first_name": "ALLA",
        "middle_name": "ALEXANDRA",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "8399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiu Cheong Au, M.D.
• Wai Aung, D.D.S.
• Avalon Angels Nursing & Caregiver Services, Inc.
• Monique Avendano
• Caroline Marie Licud Aventura, M.D.
• Michael Aviado
• Serena Noelani Avila-Cortes, DO
• Yasmin Avila
• Serena Maria Avilez, LCSW
• Angela Avina

• Hearing Instrument Specialist in West Covina, CA
• Providers in West Covina, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.