Healthcare Provider Details

I. General information

NPI: 1952227530
Provider Name (Legal Business Name): JANIE NGUYEN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 WILSON TER STE 270
GLENDALE CA
91206-4078
US

IV. Provider business mailing address

1505 WILSON TER STE 270
GLENDALE CA
91206-4078
US

V. Phone/Fax

Practice location:
  • Phone: 818-241-2101
  • Fax:
Mailing address:
  • Phone: 818-241-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number4181
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: