Healthcare Provider Details

I. General information

NPI: 1942750344
Provider Name (Legal Business Name): CLEAR CHOICE HEARING AID CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 03/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16483 BERNARDO CENTER DR
SAN DIEGO CA
92128-2523
US

IV. Provider business mailing address

16483 BERNARDO CENTER DR
SAN DIEGO CA
92128-2523
US

V. Phone/Fax

Practice location:
  • Phone: 949-650-5990
  • Fax: 949-423-0300
Mailing address:
  • Phone: 949-650-5990
  • Fax: 949-423-0300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: HAMID ABEDI
Title or Position: PROVIDER
Credential:
Phone: 919-537-3737