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Organization
PACIFIC HEARING & BALANCE, INC.
Active
Organization
PACIFIC HEARING & BALANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY JAMES FRAZER AU.D., PH.D. (PRESIDENT)
(310) 477-7281
Entity
Organization
Contact information
Practice address
4644 LINCOLN BLVD, SUITE # 409, MARINA DEL REY, CA 90292-6313
(310) 574-1116
Mailing address
4644 LINCOLN BLVD, SUITE # 409, MARINA DEL REY, CA 90292-6313
(310) 574-1116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
W15955A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GAU000793
—
CA
Enumeration date
06/26/2006
Last updated
08/22/2020
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