Healthcare Provider Details

I. General information

NPI: 1275285603
Provider Name (Legal Business Name): HOUSE INSTITUTE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 WILSHIRE BLVD STE 1620
LOS ANGELES CA
90017-4007
US

IV. Provider business mailing address

1127 WILSHIRE BLVD STE 1620
LOS ANGELES CA
90017-4007
US

V. Phone/Fax

Practice location:
  • Phone: 213-770-2187
  • Fax: 213-770-1488
Mailing address:
  • Phone: 213-423-7200
  • Fax: 213-423-7137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: REYNITA SAGON-ALCISTO
Title or Position: OPERATIONS COORDINATOR
Credential:
Phone: 213-423-7200