Healthcare Provider Details

I. General information

NPI: 1457215279
Provider Name (Legal Business Name): AUDIOLOGY CENTER OF BURBANK, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
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 Number
License Number State

VIII. Authorized Official

Name: MARY L FRINTNER
Title or Position: CEO
Credential: AUD
Phone: 818-859-7730