Healthcare Provider Details

I. General information

NPI: 1639884794
Provider Name (Legal Business Name): ABBOTT HEARING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7424 JACKSON DR STE 1
SAN DIEGO CA
92119-2324
US

IV. Provider business mailing address

7424 JACKSON DR STE 1
SAN DIEGO CA
92119-2324
US

V. Phone/Fax

Practice location:
  • Phone: 619-741-4905
  • Fax: 619-741-4380
Mailing address:
  • Phone: 619-741-4905
  • Fax: 619-741-4380

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: MRS. JULIANNA CVETKO LUNG
Title or Position: OWNER
Credential: HIS
Phone: 619-741-4905