Healthcare Provider Details
I. General information
NPI: 1245560382
Provider Name (Legal Business Name): CENTER FOR BETTER HEARING AND SPEECH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/13/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2520 HONOLULU AVE. #180
MONTROSE CA
91020-1853
US
IV. Provider business mailing address
2520 HONOLULU AVE STE 180
MONTROSE CA
91020-1853
US
V. Phone/Fax
- Phone: 818-248-8648
- Fax: 818-248-7928
- Phone: 818-248-8648
- Fax: 818-248-7928
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | AU1139 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
LINDA
L
BENNETT
Title or Position: CEO
Credential:
Phone: 818-248-8648