Organization
AMERICAN HEARING AND BALANCE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MICHAELS MA (OWNER)
(310) 677-1168
Entity
Organization
Contact information
Practice address
6229 W 87TH ST, LOS ANGELES, CA 90045-3901
(310) 677-1168
(310) 377-0203
Mailing address
6229 W 87TH ST, LOS ANGELES, CA 90045-3901
(310) 677-1168
(310) 377-0203
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4309846
AETNA PROVIDER NUMBER
CA
05
—
GAU000830
—
CA
Enumeration date
02/16/2007
Last updated
11/02/2007
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