Provider Demographics
NPI:1710753850
Name:LAHHAM, NADIA
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:LAHHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 EMPIRE AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5323
Mailing Address - Country:US
Mailing Address - Phone:925-240-1985
Mailing Address - Fax:
Practice Address - Street 1:2415 EMPIRE AVE STE 206
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5323
Practice Address - Country:US
Practice Address - Phone:925-240-1985
Practice Address - Fax:925-240-1985
Is Sole Proprietor?:No
Enumeration Date:2023-11-29
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10598237700000X
CA9136237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist