Healthcare Provider Details

I. General information

NPI: 1740322098
Provider Name (Legal Business Name): THE HEARING CENTER OF CASTRO VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 03/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20126 STANTON AVE SUITE 205
CASTRO VALLEY CA
94546-5271
US

IV. Provider business mailing address

20126 STANTON AVE SUITE 205
CASTRO VALLEY CA
94546-5270
US

V. Phone/Fax

Practice location:
  • Phone: 510-537-4211
  • Fax: 510-537-3345
Mailing address:
  • Phone: 510-537-4211
  • Fax: 510-537-3345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: DR. BETH L EHRLICH
Title or Position: AUDIOLOGIST
Credential: AUD
Phone: 510-537-4211