Burbank Hearing Clinic a Professional Corporation

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2077 Issued in CA

Legal business name

BURBANK HEARING CLINIC A PROFESSIONAL CORPORATION

Practice address

127 N San Fernando Blvd
Burbank, CA 91502-1208

Phone

(818) 842-4069

Fax

(818) 848-1616

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Courtlandt C. Warner, M.A., CCC-ANPI 1669512208

Title

President / Director / Audiologist

Phone

(818) 842-4069

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtlandt C Warner, M.A.

  • Hearing Instrument Specialist
  • Burbank, CA
  • NPI 1669512208

  Audiologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1952575458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021208",
            "telephone_number": "818-842-4069",
            "fax_number": "818-848-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021208",
            "telephone_number": "818-842-4069",
            "fax_number": "818-848-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK HEARING CLINIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "COURTLANDT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT / DIRECTOR / AUDIOLOGIST",
        "authorized_official_telephone_number": "818-842-4069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2077",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA2679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.