Healthcare Provider Details

I. General information

NPI: 1598338576
Provider Name (Legal Business Name): HEARING HEAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 E GREEN ST STE L-80
PASADENA CA
91106-2442
US

IV. Provider business mailing address

960 E GREEN ST STE L-80
PASADENA CA
91106-2442
US

V. Phone/Fax

Practice location:
  • Phone: 951-582-4609
  • Fax: 951-393-1753
Mailing address:
  • Phone: 951-582-4609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: WANDA E EURASQUIN
Title or Position: OWNER, BC-HIS
Credential:
Phone: 951-582-4609