Individual
GREGORY JAMES FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D. , PH.D.
Contact information
Practice address
11645 WILSHIRE BLVD STE 601A, LOS ANGELES, CA 90025-1708
(310) 909-0180
(310) 919-3181
Mailing address
11645 WILSHIRE BLVD, SUITE# 600, LOS ANGELES, CA 90025-1708
(310) 477-5558
(310) 477-7281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AU651
CA
231H00000X
Audiologist
Primary
AU651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0006510
—
CA
Enumeration date
06/13/2006
Last updated
08/14/2020
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