Healthcare Provider Details

I. General information

NPI: 1689807067
Provider Name (Legal Business Name): FAMILY HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2009
Last Update Date: 09/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14600 SHERMAN WAY SUITE 230
VAN NUYS CA
91405-2283
US

IV. Provider business mailing address

14600 SHERMAN WAY SUITE 230
VAN NUYS CA
91405-2283
US

V. Phone/Fax

Practice location:
  • Phone: 818-376-1116
  • Fax: 818-376-1113
Mailing address:
  • Phone: 818-376-1116
  • Fax: 818-376-1113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHA7023
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU2437
License Number StateCA

VIII. Authorized Official

Name: MARIANNA ENGIBARIAN
Title or Position: OWNER/AUDIOLOGIST
Credential: M.S.
Phone: 818-376-1116