Provider Demographics
NPI:1528280187
Name:GRIMES, ALISON MAY (AUD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:MAY
Last Name:GRIMES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 UCLA MEDICAL PLAZA #540
Mailing Address - Street 2:AUDIOLOGY CLINIC
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095
Mailing Address - Country:US
Mailing Address - Phone:310-825-5721
Mailing Address - Fax:310-206-2331
Practice Address - Street 1:200 UCLA MEDICAL PLAZA #540
Practice Address - Street 2:AUDIOLOGY CLINIC
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-825-5721
Practice Address - Fax:310-206-2331
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU457231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist