Healthcare Provider Details

I. General information

NPI: 1356398598
Provider Name (Legal Business Name): HEARX WEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 06/12/2020
Certification Date: 06/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8040 WHITE LN STE F
BAKERSFIELD CA
93309-7691
US

IV. Provider business mailing address

11400 N JOG RD
PALM BEACH GARDENS FL
33418-1756
US

V. Phone/Fax

Practice location:
  • Phone: 561-478-8770
  • Fax: 561-598-7209
Mailing address:
  • Phone: 561-478-8770
  • Fax: 561-598-7209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MORGAN KLEIN
Title or Position: MGR OF INSURANCE CONTRACTING
Credential:
Phone: 561-478-8770