Healthcare Provider Details

I. General information

NPI: 1295164812
Provider Name (Legal Business Name): R L HEARING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6427 E PACIFIC COAST HWY STE A4
LONG BEACH CA
90803-4201
US

IV. Provider business mailing address

6100 COLDBROOK AVE
LAKEWOOD CA
90713-1028
US

V. Phone/Fax

Practice location:
  • Phone: 562-430-1400
  • Fax: 562-430-1422
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number7517
License Number StateCA

VIII. Authorized Official

Name: ROBERT HANLEY
Title or Position: OWNER
Credential:
Phone: 562-430-1400