Individual
ASIA NICOLE PON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1640 MARENGO ST STE 600, LOS ANGELES, CA 90033-1056
(323) 442-5501
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3619
CA
237600000X
Audiologist-Hearing Aid Fitter
AU3619
CA
Other
Enumeration date
09/03/2021
Last updated
11/16/2022
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