Healthcare Provider Details

I. General information

NPI: 1134676083
Provider Name (Legal Business Name): CARPADAKIS HEARING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2016
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 BALTIMORE DR STE A
LA MESA CA
91942-0692
US

IV. Provider business mailing address

5020 BALTIMORE DR STE A
LA MESA CA
91942-0692
US

V. Phone/Fax

Practice location:
  • Phone: 619-460-0180
  • Fax:
Mailing address:
  • Phone: 619-460-0180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA8031
License Number StateCA

VIII. Authorized Official

Name: JASON CARPADAKIS
Title or Position: OWNER/ HEARING INSTRUMENT SPECIALIS
Credential: HIS
Phone: 619-460-0180