Healthcare Provider Details

I. General information

NPI: 1902710593
Provider Name (Legal Business Name): CLEAR WAVE HEARING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 S VICTORY BLVD
BURBANK CA
91502-2427
US

IV. Provider business mailing address

804 S VICTORY BLVD
BURBANK CA
91502-2427
US

V. Phone/Fax

Practice location:
  • Phone: 818-842-4747
  • Fax:
Mailing address:
  • Phone: 818-842-4747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTOPHER MAGDAEL
Title or Position: SECRETARY
Credential:
Phone: 760-507-1334