Organization
MATT MICHAELS, M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MICHAELS (OWNER)
(818) 500-0662
Entity
Organization
Contact information
Practice address
633 N CENTRAL AVE, SUITE 201, GLENDALE, CA 91203-1801
(818) 500-0662
Mailing address
633 N CENTRAL AVE, SUITE 201, GLENDALE, CA 91203-1801
(818) 500-0662
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
HA3651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0017301
—
CA
Enumeration date
02/15/2008
Last updated
02/15/2008
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