Healthcare Provider Details

I. General information

NPI: 1053252049
Provider Name (Legal Business Name): LAVI AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5947 CORBIN AVE
TARZANA CA
91356-1006
US

IV. Provider business mailing address

300 S BEVERLY DR STE 408
BEVERLY HILLS CA
90212-4807
US

V. Phone/Fax

Practice location:
  • Phone: 818-939-8540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: SHAYNA LAVI
Title or Position: AUDIOLOGIST
Credential: AU.D
Phone: 818-939-8540