Organization
BURBANK HEARING CLINIC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COURTLANDT C. WARNER M.A., CCC-A (PRESIDENT / DIRECTOR / AUDIOLOGIST)
(818) 842-4069
Entity
Organization
Contact information
Practice address
127 N SAN FERNANDO BLVD, BURBANK, CA 91502-1208
(818) 842-4069
(818) 848-1616
Mailing address
127 N SAN FERNANDO BLVD, BURBANK, CA 91502-1208
(818) 842-4069
(818) 848-1616
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2077
CA
237700000X
Hearing Instrument Specialist
HA2679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0026790
—
CA
Enumeration date
04/15/2008
Last updated
04/15/2008
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