Healthcare Provider Details

I. General information

NPI: 1184916967
Provider Name (Legal Business Name): DOCTORS OF HEARING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1334 W COVINA BLVD STE 106
SAN DIMAS CA
91773-3211
US

IV. Provider business mailing address

3219 LA PLATA AVE
HACIENDA HEIGHTS CA
91745-6217
US

V. Phone/Fax

Practice location:
  • Phone: 626-250-6642
  • Fax: 888-893-1161
Mailing address:
  • Phone: 626-363-4725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberAU 2780
License Number StateCA

VIII. Authorized Official

Name: MR. KEVIN TOWNSEND
Title or Position: AUDIOLOGIST
Credential: MA., CCC-A
Phone: 626-277-3698