Healthcare Provider Details

I. General information

NPI: 1720632813
Provider Name (Legal Business Name): CONCIERGE HEARING AID SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2019
Last Update Date: 07/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7561 CENTER AVE STE 4
HUNTINGTON BEACH CA
92647-3067
US

IV. Provider business mailing address

7561 CENTER AVE STE 4
HUNTINGTON BEACH CA
92647-3067
US

V. Phone/Fax

Practice location:
  • Phone: 949-478-1254
  • Fax:
Mailing address:
  • Phone: 949-478-1254
  • Fax:

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: MS. WENDY DENISE MEYER-EBERHARD
Title or Position: OWNER
Credential: H.A.S
Phone: 949-478-1254