Individual
MARCIA SMITH BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1300 W 155TH ST, 107, GARDENA, CA 90247-4049
(310) 327-5001
(310) 327-2349
Mailing address
1300 W 155TH ST STE 107, GARDENA, CA 90247-4049
(310) 327-5001
(310) 327-2349
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU751
CA
237600000X
Audiologist-Hearing Aid Fitter
HA1505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU0007510
BLUE SHIELD
—
05
—
AU0007510
—
CA
01
—
AU0007511
BLUE SHIELD
—
01
—
AUD751B
MEDICARE
—
01
—
HA0015050
BLUE SHIELD
—
05
—
HA0015051
—
CA
Enumeration date
11/30/2006
Last updated
09/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us