=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952340473
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HOWARD ALAN HAMBURGER
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/06/2006
-----------------------------------------------------
Last Update Date | 11/17/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3122 SANTA MONICA BLVD STE 101
-----------------------------------------------------
City | SANTA MONICA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90404-2533
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-310-3989
-----------------------------------------------------
Fax | 310-310-3129
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 571154
-----------------------------------------------------
City | TARZANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91357-1154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-943-7892
-----------------------------------------------------
Fax | 818-244-8532
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237600000X
-----------------------------------------------------
Taxonomy Name | Audiologist-Hearing Aid Fitter
-----------------------------------------------------
License Number | AU2092
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------