Provider Demographics
NPI:1689807067
Name:FAMILY HEARING CENTER
Entity Type:Organization
Organization Name:FAMILY HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGIBARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:818-376-1116
Mailing Address - Street 1:14600 SHERMAN WAY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2283
Mailing Address - Country:US
Mailing Address - Phone:818-376-1116
Mailing Address - Fax:818-376-1113
Practice Address - Street 1:14600 SHERMAN WAY
Practice Address - Street 2:SUITE 230
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2283
Practice Address - Country:US
Practice Address - Phone:818-376-1116
Practice Address - Fax:818-376-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2437237600000X
CAHA7023237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1285672881Medicaid