Healthcare Provider Details

I. General information

NPI: 1952770810
Provider Name (Legal Business Name): UNION HEARING AID CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 09/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5615 WHITTIER BLVD STE E
COMMERCE CA
90022-4128
US

IV. Provider business mailing address

5615 WHITTIER BLVD STE E
COMMERCE CA
90022-4128
US

V. Phone/Fax

Practice location:
  • Phone: 323-721-6424
  • Fax: 323-721-1815
Mailing address:
  • Phone: 323-721-6424
  • Fax: 323-721-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU2040
License Number StateCA

VIII. Authorized Official

Name: SIMON JAMES DEVILLY
Title or Position: DISPENSING AUDIOLOGIST
Credential: M.A.
Phone: 323-721-6424