Healthcare Provider Details

I. General information

NPI: 1134745888
Provider Name (Legal Business Name): CVHH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1729 TULLY RD STE 1
MODESTO CA
95350-4081
US

IV. Provider business mailing address

1729 TULLY RD STE 1
MODESTO CA
95350-4081
US

V. Phone/Fax

Practice location:
  • Phone: 209-678-1420
  • Fax:
Mailing address:
  • Phone: 209-678-1420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MISS CYNDE MACEDO
Title or Position: CFO
Credential:
Phone: 209-483-1787