Healthcare Provider Details

I. General information

NPI: 1477127538
Provider Name (Legal Business Name): HEAR WELL CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 05/13/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 LONG BEACH BLVD STE 110
LONG BEACH CA
90807-4023
US

IV. Provider business mailing address

3605 LONG BEACH BLVD STE 110
LONG BEACH CA
90807-4023
US

V. Phone/Fax

Practice location:
  • Phone: 562-989-8101
  • Fax: 562-989-8119
Mailing address:
  • Phone: 562-989-8101
  • Fax: 562-989-8119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN MARTINEZ
Title or Position: PROVIDER
Credential: AU.D, PH.D
Phone: 562-989-8101