Healthcare Provider Details

I. General information

NPI: 1326300161
Provider Name (Legal Business Name): MELISSA D. ALEXANDER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA D. SHERMAN AU.D.

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 10/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 15TH ST # P2
SANTA MONICA CA
90404-1135
US

IV. Provider business mailing address

4856 LONGRIDGE AVE
SHERMAN OAKS CA
91423
US

V. Phone/Fax

Practice location:
  • Phone: 424-738-3778
  • Fax:
Mailing address:
  • Phone: 818-438-4595
  • Fax: 313-531-9677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU2808
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU2808
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: