Healthcare Provider Details

I. General information

NPI: 1073785853
Provider Name (Legal Business Name): ALL EAR DOCTORS HEARING AIDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 03/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17732 BEACH BLVD SUITE C
HUNTINGTON BEACH CA
92647-6881
US

IV. Provider business mailing address

17732 BEACH BLVD SUITE C
HUNTINGTON BEACH CA
92647-6809
US

V. Phone/Fax

Practice location:
  • Phone: 714-848-2222
  • Fax: 714-848-5863
Mailing address:
  • Phone: 714-848-2222
  • Fax: 714-848-5863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA3235
License Number StateCA

VIII. Authorized Official

Name: RICHARD G CASTANON
Title or Position: OWNER
Credential: M.D.
Phone: 714-848-2222