Healthcare Provider Details
I. General information
NPI: 1932419173
Provider Name (Legal Business Name): HEAR CLEAR HEARING AIDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2010
Last Update Date: 12/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4764 PARK GRANADA SUITE #109
CALABASAS CA
91302
US
IV. Provider business mailing address
4764 PARK GRANADA SUITE #109
CALABASAS CA
91302
US
V. Phone/Fax
- Phone: 818-222-4327
- Fax: 818-222-4328
- Phone: 818-222-4327
- Fax: 818-222-4328
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 2480 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | AU715 |
| License Number State | CA |
VIII. Authorized Official
Name: MS.
IRIS
ELLEN
STONE
Title or Position: OWNER
Credential: MA., CCC-A, FAAA
Phone: 818-222-4327