Healthcare Provider Details

I. General information

NPI: 1104064518
Provider Name (Legal Business Name): LAYLA SWEENEY M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6649 BALBOA BLVD RM 18
VAN NUYS CA
91406-5529
US

IV. Provider business mailing address

333 S BEAUDRY AVE FL 17
LOS ANGELES CA
90017-5105
US

V. Phone/Fax

Practice location:
  • Phone: 818-654-3573
  • Fax: 818-654-3666
Mailing address:
  • Phone: 818-654-3573
  • Fax: 818-654-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU2543
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: