Healthcare Provider Details

I. General information

NPI: 1639180458
Provider Name (Legal Business Name): SENT HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 EXPOSITION BLVD BLDG 700
SACRAMENTO CA
95815-4314
US

IV. Provider business mailing address

1111 EXPOSITION BLVD BLDG 700
SACRAMENTO CA
95815-4314
US

V. Phone/Fax

Practice location:
  • Phone: 916-736-3404
  • Fax: 916-233-4171
Mailing address:
  • Phone: 916-736-3404
  • Fax: 916-233-4171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License NumberAU1208
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHA2566
License Number StateCA

VIII. Authorized Official

Name: MS. LAURA ROBINSON
Title or Position: AUDIOLOGIST
Credential: AU
Phone: 916-736-3399