MEDICARE: ALHAMBRA AUDIOLOGY INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	AU 1955	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285667238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALHAMBRA AUDIOLOGY INC

Provider Business Mailing Address
First Line	:	41 N GARFIELD AVE
Second Line	:	SUITE 101
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-3556
Country	:	US
Telephone Number	:	626-284-4633
Fax Number	:	626-284-4162

Provider Business Practice Location Address
First Line	:	41 N GARFIELD AVE
Second Line	:	SUITE 101
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-3556
Country	:	US
Telephone Number	:	626-284-4633
Fax Number	:	626-284-4162

Authorized Official
Title or Position	:	PRESIDENT/AUDIOLOGIST
Name	:	YONGCHING CHANG-ALLEN
Credential	:	M.A. CCC-A
Telephone Number	:	626-284-4633

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	05/26/2015

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