Healthcare Provider Details

I. General information

NPI: 1659202018
Provider Name (Legal Business Name): HEARING HEALTH AUDIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 EDISON AVE STE 210
CHINO CA
91710-8410
US

IV. Provider business mailing address

23689 PALOMINO DR
DIAMOND BAR CA
91765-1628
US

V. Phone/Fax

Practice location:
  • Phone: 213-880-9620
  • Fax:
Mailing address:
  • Phone: 213-880-9620
  • Fax:

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: MAHAAT QURESHI
Title or Position: AUDIOLOGIST
Credential: AU.D.
Phone: 213-880-9620