Healthcare Provider Details

I. General information

NPI: 1710926167
Provider Name (Legal Business Name): HEARING ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8363 RESEDA BLVD SUITE# 207
NORTHRIDGE CA
91324-4623
US

IV. Provider business mailing address

8363 RESEDA BLVD SUITE# 207
NORTHRIDGE CA
91324-4623
US

V. Phone/Fax

Practice location:
  • Phone: 818-727-7020
  • Fax: 818-727-7075
Mailing address:
  • Phone: 818-727-7020
  • Fax: 818-727-7075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberW19216
License Number StateCA

VIII. Authorized Official

Name: GREGORY JAMES FRAZER
Title or Position: PRESIDENT
Credential: AU.D., PH.D.
Phone: 818-727-7020