Organization
AUDIOLOGY CENTER OF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GLUCK (OWNER)
(323) 851-6556
Entity
Organization
Contact information
Practice address
6350 W RAMSEY ST, SUITE B, BANNING, CA 92220-3062
(323) 851-6556
(323) 851-6593
Mailing address
6350 W RAMSEY ST, SUITE B, BANNING, CA 92220-3062
(323) 851-6556
(323) 851-6593
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU64
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU64
STATE LICENSE
CA
Enumeration date
04/12/2007
Last updated
08/22/2020
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