MEDICARE: AUDIOLOGY CENTER OF BURBANK, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1457215279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDIOLOGY CENTER OF BURBANK, PC

Provider Business Mailing Address
First Line	:	2211 W MAGNOLIA BLVD STE 100
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-1755
Country	:	US
Telephone Number	:	818-859-7730
Fax Number	:	818-859-7732

Provider Business Practice Location Address
First Line	:	2211 W MAGNOLIA BLVD STE 100
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-1755
Country	:	US
Telephone Number	:	818-859-7730
Fax Number	:	818-859-7732

Authorized Official
Title or Position	:	CEO
Name	:	MARY L FRINTNER
Credential	:	AUD
Telephone Number	:	818-859-7730

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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