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General NPI Number Information
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NPI Number | 1538107289
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Entity Type | Organization
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Legal Business Name | WEST COAST HEARING & BALANCE CENTER
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 299 W. HILLCREST DRIVE #100
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-7820
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Country | US
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Telephone | 805-379-0824
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Fax | 805-379-0611
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Provider Business Mailing Address
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Address Line | 2876 N. SYCAMORE DRIVE #303
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1550
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Country | US
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Telephone | 805-583-8698
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Fax | 805-527-2426
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Authorized Official
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Title or Position | PARTNER
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Name | MS. HANG THAI LAM
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Credential | AU.D.
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Telephone | 805-953-0377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | GAU000993
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License Number State | CA
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