Healthcare Provider Details

I. General information

NPI: 1114107505
Provider Name (Legal Business Name): LIFE HEARING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 E. LINCOLN AVE.
ORANGE CA
92865
US

IV. Provider business mailing address

1635 E. LINCOLN AVE.
ORANGE CA
92865
US

V. Phone/Fax

Practice location:
  • Phone: 714-282-9911
  • Fax: 714-282-9811
Mailing address:
  • Phone: 714-282-9911
  • Fax: 714-282-9911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA6014
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA4181
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA6093
License Number StateCA

VIII. Authorized Official

Name: MR. AHMAD HABIBI
Title or Position: CEO
Credential: HEARING AID DISPENSE
Phone: 714-282-9911