Provider Demographics
NPI:1518056696
Name:WILLIAM LEE PARKER PH.D., & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:WILLIAM LEE PARKER PH.D., & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-540-4327
Mailing Address - Street 1:4201 TORRANCE BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4500
Mailing Address - Country:US
Mailing Address - Phone:310-540-4327
Mailing Address - Fax:310-316-2685
Practice Address - Street 1:4201 TORRANCE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4500
Practice Address - Country:US
Practice Address - Phone:310-540-4327
Practice Address - Fax:310-316-2685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU224231H00000X
237600000X
CAHA2103237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGAU000650Medicaid
CAAU224Medicare ID - Type Unspecified