Provider Demographics
NPI:1740412741
Name:O'BOYLE, ANGELICA BRIELLE (AUD)
Entity Type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:BRIELLE
Last Name:O'BOYLE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:ANGELICA
Other - Middle Name:BRIELLE
Other - Last Name:CALANDRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18433 ROSCOE BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4108
Mailing Address - Country:US
Mailing Address - Phone:818-727-7020
Mailing Address - Fax:818-727-7075
Practice Address - Street 1:18433 ROSCOE BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4108
Practice Address - Country:US
Practice Address - Phone:818-727-7020
Practice Address - Fax:818-727-7075
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYA767231H00000X
CA2988231H00000X
CA9115237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter