Frazer, Gregory James

Frazer, Gregory James is an sole proprietor health care provider with primary practice located at 11645 Wilshire Blvd Ste 601A , Los Angeles CA 90025-1708. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Frazer, Gregory James can be contacted via phone (310) 909-0180.

Contact Information

Primary practice address
11645 Wilshire Blvd Ste 601A Los Angeles CA 90025-1708
Phone: (310) 909-0180
Fax: (310) 919-3181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X AU651 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU651 California

Profile Details

NPI number 1023051588
LBN Legal business name Frazer, Gregory James
Credentials AU.D. , PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Aug 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023051588 NPPES
California MEDICAID AU0006510

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