MEDICARE: HOUSE INSTITUTE FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2355S0801X	Speech-Language Assistant
2	237600000X	Audiologist-Hearing Aid Fitter
3	237700000X	Hearing Instrument Specialist
4	231H00000X	Audiologist

General Provider Information

NPI Number	:	1275285603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE INSTITUTE FOUNDATION

Provider Business Mailing Address
First Line	:	1127 WILSHIRE BLVD STE 1620
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4007
Country	:	US
Telephone Number	:	213-423-7200
Fax Number	:	213-423-7137

Provider Business Practice Location Address
First Line	:	1127 WILSHIRE BLVD STE 1620
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4007
Country	:	US
Telephone Number	:	213-770-2187
Fax Number	:	213-770-1488

Authorized Official
Title or Position	:	OPERATIONS COORDINATOR
Name	:	REYNITA SAGON-ALCISTO
Credential	:
Telephone Number	:	213-423-7200

Provider Enumeration Date	:	01/26/2022
Last Update Date	:	11/04/2024

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Directions to “HOUSE INSTITUTE FOUNDATION ” Practice Location

Language	Start Address	Practice Location

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