Active NPI
Los Angeles Audiology Group, Inc.
- Audiologist-Hearing Aid Fitter
- Los Angeles, CA
National Provider Identifier
1801044698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU1730
- Legal business name
- LOS ANGELES AUDIOLOGY GROUP, INC.
- Practice address
- 3875 Wilshire Blvd
Suite 302
Los Angeles, CA 90010-3205 - Phone
- (213) 386-6108
- Fax
- (213) 386-6182
- NPI assigned
- Sep 4, 2008
- 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
- Matthew Denzil Michaels, M.S.
- Title
- President
- Phone
- (213) 386-6108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AU1730 | CA | Primary |
Addresses
Primary practice location
3875 Wilshire Blvd
Suite 302
Los Angeles, CA 90010-3205
Mailing address
3875 Wilshire Blvd
Suite 302
Los Angeles, CA 90010-3205
Phone (213) 386-6108
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0017300 | Medicaid | CA | |
| AU0017302 | Medicaid | CA | |
| 1710993993 | Other | CA | INDIVIDUAL NPI |
| AU0017301 | Medicaid | CA |
Other names 1
- Los Angeles Hearing Aid Center
National Provider Directory
National Provider Directory- Tax ID family
- Los Angeles Audiology Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Audiologist
- Los Angeles, CA
- NPI 1770761116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220486400000",
"number": "1801044698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 WILSHIRE BLVD",
"address_2": "SUITE 302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103205",
"telephone_number": "213-386-6108",
"fax_number": "213-386-6182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 WILSHIRE BLVD",
"address_2": "SUITE 302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103205",
"telephone_number": "213-386-6108",
"fax_number": "213-386-6182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS ANGELES AUDIOLOGY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A",
"authorized_official_last_name": "MICHAELS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "DENZIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-386-6108",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU1730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0017300",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0017302",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1710993993",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0017301",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Los Angeles Hearing Aid Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.