{
"Npi": {
"NPI": "1538107289",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WEST COAST HEARING & BALANCE CENTER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2876 N. SYCAMORE DRIVE #303",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SIMI VALLEY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93065-1550",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-583-8698",
"MailingAddressFaxNumber": "805-527-2426",
"FirstLinePracticeLocationAddress": "299 W. HILLCREST DRIVE #100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "THOUSAND OAKS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91360-7820",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-379-0824",
"PracticeLocationAddressFaxNumber": "805-379-0611",
"EnumerationDate": "06/03/2006",
"LastUpdateDate": "08/20/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAM",
"AuthorizedOfficialFirstName": "HANG",
"AuthorizedOfficialMiddleName": "THAI",
"AuthorizedOfficialTitle": "PARTNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "AU.D.",
"AuthorizedOfficialTelephoneNumber": "805-953-0377",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "GAU000993",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}