Organization
EAST VALLEY AUDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN S. LINE JR. (PRESIDENT)
(818) 559-9727
Entity
Organization
Contact information
Practice address
191 SO. BUENA VISTA, SUITE 320-A, BURBANK, CA 91505
(818) 559-9580
Mailing address
191 SO. BUENA VISTA, SUITE 320-A, BURBANK, CA 91505
(818) 559-9580
(818) 559-1341
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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