Healthcare Provider Details

I. General information

NPI: 1225781073
Provider Name (Legal Business Name): EAST BAY HEARING SVCS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 A ST STE 100
HAYWARD CA
94541-2961
US

IV. Provider business mailing address

1260 A ST STE 100
HAYWARD CA
94541-2961
US

V. Phone/Fax

Practice location:
  • Phone: 510-538-8884
  • Fax: 510-538-5144
Mailing address:
  • Phone: 510-538-8884
  • Fax: 510-538-5144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT E HOLT
Title or Position: HIS
Credential:
Phone: 510-745-0900