Healthcare Provider Details

I. General information

NPI: 1700108271
Provider Name (Legal Business Name): CENTRAL HEARING CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2010
Last Update Date: 10/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 N CENTRAL AVE STE 110
GLENDALE CA
91203-5000
US

IV. Provider business mailing address

411 N CENTRAL AVE STE 110
GLENDALE CA
91203-5000
US

V. Phone/Fax

Practice location:
  • Phone: 818-247-1234
  • Fax:
Mailing address:
  • Phone: 818-247-1234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS MICHAEL HIGGINS
Title or Position: AUDIOLOGYST
Credential: MA
Phone: 818-247-1234