Individual
DR. KEITH P MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
6229 W 87TH ST, LOS ANGELES, CA 90045-3901
(310) 677-1168
(310) 677-0203
Mailing address
6229 W 87TH ST, LOS ANGELES, CA 90045-3901
(310) 677-1168
(310) 677-0203
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU2428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0024280
—
CA
01
—
AU2428
AUDIOLOGY LICENSE NUMBER
CA
05
—
GAU001090
—
CA
01
—
HA7011
HEARING AID DISPENSER NUM
CA
01
—
ZZZ62880Z
BLUE SHIELD
CA
Enumeration date
02/16/2007
Last updated
12/15/2016
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