California State University, Los Angeles

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

CALIFORNIA STATE UNIVERSITY, LOS ANGELES

Practice address

Hearing & Balance Center, Lower Level B1, Suite B-10200
1000 S. Fremont Avenue
Alhambra, CA 91803-8866

Phone

(626) 382-0254

Fax

(626) 382-0256

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Peter Ivory, PHD

Title

Aud Program Director

Phone

(818) 521-3386

Specialties & licenses 1

Addresses

Other names 1

• Hearing and Balance Center Other name

Locations

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1487426144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE UNIT 32",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038866",
            "telephone_number": "626-382-0254",
            "fax_number": "626-382-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEARING & BALANCE CENTER, LOWER LEVEL B1, SUITE B-10200",
            "address_2": "1000 S. FREMONT AVENUE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038866",
            "telephone_number": "626-382-0254",
            "fax_number": "626-382-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY, LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "IVORY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUD PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "818-521-3386",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing and Balance Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hearing and Balance Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hearing and Speech Clinic/Center in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Hearing and Speech Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.