Provider Demographics
NPI:1952340473
Name:HAMBURGER, HOWARD ALAN
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:ALAN
Last Name:HAMBURGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 571154
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91357-1154
Mailing Address - Country:US
Mailing Address - Phone:818-943-7892
Mailing Address - Fax:818-244-8532
Practice Address - Street 1:3122 SANTA MONICA BLVD
Practice Address - Street 2:STE 101
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2533
Practice Address - Country:US
Practice Address - Phone:310-310-3989
Practice Address - Fax:310-310-3129
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2092237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1043434038Medicaid
CA1043434038Medicaid