Provider Demographics
NPI:1740061936
Name:AKBARI, GAUHARSHAD B (HEARING AID DISPENSE)
Entity type:Individual
Prefix:
First Name:GAUHARSHAD
Middle Name:B
Last Name:AKBARI
Suffix:
Gender:F
Credentials:HEARING AID DISPENSE
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:ABKARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SUSAN
Mailing Address - Street 1:1908 SANTA MONICA BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1927
Mailing Address - Country:US
Mailing Address - Phone:818-720-3842
Mailing Address - Fax:
Practice Address - Street 1:1908 SANTA MONICA BLVD STE 3
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1927
Practice Address - Country:US
Practice Address - Phone:818-720-3842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8242237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist