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NPI Code Detail

MEDICARE: DR. TIFFANY KAY HUSTED AU.D.

MEDICARE: DR. TIFFANY KAY HUSTED AU.D.
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
1231H00000XAudiologistAU 2979CA

General Provider Information

NPI Number : 1447651344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANY KAY HUSTED AU.D.
Provider Business Mailing Address
First Line : 333 S BEAUDRY AVE FL 17
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5105
Country : US
Telephone Number : 323-360-9853
Fax Number : 323-360-9856
Provider Business Practice Location Address
First Line : 333 S BEAUDRY AVE FL 17
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5105
Country : US
Telephone Number : 323-360-9853
Fax Number : 323-360-9856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2014
Last Update Date : 05/04/2026

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