Healthcare Provider Details

I. General information

NPI: 1164766085
Provider Name (Legal Business Name): HEARING SCIENCE OF PLEASANTON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4460 BLACK AVE STE F
PLEASANTON CA
94566-6142
US

IV. Provider business mailing address

4460 BLACK AVE STE F
PLEASANTON CA
94566-6142
US

V. Phone/Fax

Practice location:
  • Phone: 925-484-3507
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: KENNETH BILLHEIMER
Title or Position: OWNER
Credential:
Phone: 925-484-3507