Provider Demographics
NPI:1477601540
Name:BROWN, DANIEL R (HEARING AID DISPENSE)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:R
Last Name:BROWN
Suffix:
Gender:M
Credentials:HEARING AID DISPENSE
Other - Prefix:MR
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4926 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6102
Mailing Address - Country:US
Mailing Address - Phone:323-540-3333
Mailing Address - Fax:323-660-6034
Practice Address - Street 1:4926 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6102
Practice Address - Country:US
Practice Address - Phone:323-540-3333
Practice Address - Fax:323-660-6034
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA5095231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier