Healthcare Provider Details

I. General information

NPI: 1881686905
Provider Name (Legal Business Name): SAN DIEGO HEARING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4282 GENESEE AVE SUITE 301
SAN DIEGO CA
92117
US

IV. Provider business mailing address

4282 GENESEE AVE SUITE 301
SAN DIEGO CA
92117-4946
US

V. Phone/Fax

Practice location:
  • Phone: 858-279-3277
  • Fax: 858-279-3281
Mailing address:
  • Phone: 858-279-3277
  • Fax: 858-279-3281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHA2797
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU1291
License Number StateCA

VIII. Authorized Official

Name: MS. BLANCHE LYN BLACKINGTON
Title or Position: PRESIDENT OWNER
Credential: MA
Phone: 858-279-3277