Healthcare Provider Details

I. General information

NPI: 1962889816
Provider Name (Legal Business Name): DIABLO HEARING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2015
Last Update Date: 04/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 CAMINO RAMON
SAN RAMON CA
94583-4440
US

IV. Provider business mailing address

2301 CAMINO RAMON
SAN RAMON CA
94583-4440
US

V. Phone/Fax

Practice location:
  • Phone: 925-901-0122
  • Fax: 925-901-0199
Mailing address:
  • Phone: 925-901-0122
  • Fax: 925-901-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE S MAHON
Title or Position: OWNER
Credential:
Phone: 925-901-0199