IndividualActive
Jennifer Petty
NPI 1306085196 · Audiology Assistant · Los Angeles, CA
Provider details
- NPI number
- 1306085196
- Entity type
- Individual
- Primary specialty
- Audiology AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- SPA 953 (CA)
Practice location
4160 Grand View Blvd
Los Angeles, CA 90066-5214
Phone: (310) 751-1101
Fax: (310) 397-5827
Mailing address
4160 Grand View Blvd
Los Angeles, CA 90066-5214
Registry dates
- Enumerated
- 2009-02-18
- Last updated
- 2009-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.