MEDICARE: HEARING ASSOCIATES, 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	174400000X	Specialist	W19216	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	:	1710926167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	8363 RESEDA BLVD
Second Line	:	SUITE# 207
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-4623
Country	:	US
Telephone Number	:	818-727-7020
Fax Number	:	818-727-7075

Provider Business Practice Location Address
First Line	:	8363 RESEDA BLVD
Second Line	:	SUITE# 207
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-4623
Country	:	US
Telephone Number	:	818-727-7020
Fax Number	:	818-727-7075

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GREGORY JAMES FRAZER
Credential	:	AU.D., PH.D.
Telephone Number	:	818-727-7020

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	07/21/2022

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