Healthcare Provider Details

I. General information

NPI: 1417026329
Provider Name (Legal Business Name): MARY L FRINTNER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 W MAGNOLIA BLVD STE 100
BURBANK CA
91506-1755
US

IV. Provider business mailing address

2211 W MAGNOLIA BLVD STE 100
BURBANK CA
91506-1755
US

V. Phone/Fax

Practice location:
  • Phone: 818-859-7730
  • Fax: 818-859-7732
Mailing address:
  • Phone: 818-859-7730
  • Fax: 818-859-7732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU1444
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDAU1444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: