Healthcare Provider Details

I. General information

NPI: 1043595887
Provider Name (Legal Business Name): ACCUQUEST HEARING CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2011
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4281 KATELLA AVE STE 102
LOS ALAMITOS CA
90720-3500
US

IV. Provider business mailing address

2800 W HIGGINS ROAD SUITE #895
HOFFMAN ESTATES IL
60169
US

V. Phone/Fax

Practice location:
  • Phone: 714-229-1340
  • Fax:
Mailing address:
  • Phone: 847-843-1900
  • Fax: 847-843-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHA7259
License Number StateCA

VIII. Authorized Official

Name: MS. ASHLIE CARLSON
Title or Position: INSURANCE MANAGER
Credential:
Phone: 847-843-1900