Healthcare Provider Details

I. General information

NPI: 1306980057
Provider Name (Legal Business Name): HEARING CARE ASSOCIATES-NORTH HOLLYWOOD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 01/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 W ALAMEDA AVE SUITE 101
BURBANK CA
91505-4338
US

IV. Provider business mailing address

4001 W ALAMEDA AVE SUITE 101
BURBANK CA
91505-4338
US

V. Phone/Fax

Practice location:
  • Phone: 818-841-0066
  • Fax: 818-841-2141
Mailing address:
  • Phone: 818-841-0066
  • Fax: 818-841-2141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU1187
License Number StateCA

VIII. Authorized Official

Name: BEVERLY LEW
Title or Position: OWNER
Credential: MA
Phone: 818-841-0066