Individual
MRS. SUSAN FRUGONE MIZIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
6333 WILSHIRE BLVD, SUITE 309, LOS ANGELES, CA 90048-5702
(323) 651-5107
(323) 651-4169
Mailing address
4638 LEDGE AVE, TOLUCA LAKE, CA 91602-1536
(818) 761-9100
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GAU000320
—
CA
Enumeration date
03/26/2007
Last updated
07/09/2007
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