Healthcare Provider Details

I. General information

NPI: 1013281385
Provider Name (Legal Business Name): SAN DIEGO FAMILY HEARING AID CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2012
Last Update Date: 03/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6030 SANTO RD SUITE C
SAN DIEGO CA
92124-1196
US

IV. Provider business mailing address

6030 SANTO RD SUITE C
SAN DIEGO CA
92124-1196
US

V. Phone/Fax

Practice location:
  • Phone: 858-499-0200
  • Fax: 858-499-0211
Mailing address:
  • Phone: 858-499-0200
  • Fax: 858-499-0211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHA 2397
License Number StateCA

VIII. Authorized Official

Name: ROBERT STEINBERG
Title or Position: PRESIDENT
Credential:
Phone: 858-499-0200