Provider Demographics
NPI:1821480567
Name:BEVERLY HILLS AUDIOLOGY PC
Entity Type:Organization
Organization Name:BEVERLY HILLS AUDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:310-247-0344
Mailing Address - Street 1:414 N CAMDEN DR
Mailing Address - Street 2:975
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4532
Mailing Address - Country:US
Mailing Address - Phone:310-247-0340
Mailing Address - Fax:310-247-0340
Practice Address - Street 1:414 N CAMDEN DR
Practice Address - Street 2:975
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4532
Practice Address - Country:US
Practice Address - Phone:310-247-0340
Practice Address - Fax:310-247-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty