Organization
AUDIOLOGY CENTER OF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA DALE GLUCK MA (OWNER)
(323) 851-6556
Entity
Organization
Contact information
Practice address
1728 LAUREL CANYON BLVD, SUITE D, LOS ANGELES, CA 90046-2138
(323) 851-6556
(232) 851-6593
Mailing address
PO BOX 480184, LOS ANGELES, CA 90048-1184
(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
04/26/2007
Last updated
06/24/2008
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